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 |