| NPI | 1922358175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLI NORDHUES Owner/Ot 712-303-9948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: IA 01774) |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2012-11-02 |