| NPI | 1780708032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL RICHARD LANAGHAN Owner 319-337-8818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 01519) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IA 00426) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2008-09-29 |