| NPI | 1841286051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDI E. RUTLEDGE Office Manager 515-327-0046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IA 2849) |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2007-11-05 |