| NPI | 1700040995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANN MARIE FITZGERALD Owner 319-366-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 152W00000X Optometrist |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2008-07-16 |