| NPI | 1720312465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANLEY JOHN MATHEW CEO 319-550-2625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IA 38604) |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2009-12-14 |