| NPI | 1710485446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEROD LEE GAYER Owner 319-352-5644 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2018-01-29 |
| Last Update Date | 2018-02-08 |