| NPI | 1790214252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY DWAYNE EICHENBERGER Physical Therapist/ Owner 515-341-2721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2017-09-20 |