| NPI | 1912987108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY KIMBALL Partner 319-233-6995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 02905) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2010-06-03 |