| NPI | 1982144820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDY MORAD Physical Therapist 515-313-4487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 0006313) |
| Enumeration Date | 2017-02-26 |
| Last Update Date | 2017-02-26 |