| NPI | 1740874106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUBNA OMAR Owner 563-271-1950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2021-02-25 |
| Last Update Date | 2021-02-25 |