| NPI | 1841582731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY MARIE SPENCER-MCMULLEN Office Manager 712-301-6262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 004322) |
| Enumeration Date | 2011-05-10 |
| Last Update Date | 2011-12-14 |