| NPI | 1780376129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH EARL BROOKS Owner 563-424-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 261Q00000X |
| Enumeration Date | 2023-05-24 |
| Last Update Date | 2023-08-22 |