| NPI | 1881173193 |
|---|---|
| Doing Business As | KEYSTONE OUTPATIENT THERAPY |
| Entity Type | Organization |
| Authorized Contact | TRACY LYNN HANSON Admin CEO 319-442-3234 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Additional Taxonomies | 251J00000X Nursing Care (Licence: IA 165604) |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2018-09-11 |