| NPI | 1740834878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA ROWENHORST Physical Therapist 712-600-4645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2019-07-26 |
| Last Update Date | 2019-07-26 |