Terra Madison PTA

NPI 1932302593 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1932302593
Gender Female
Enumeration Date 06/08/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1600 MCPHERSON AVE
COUNCIL BLUFFS IA, 51503-4858, US
Phone (615) 896-6400
Fax
Business Location
64938 235TH ST
GLENWOOD IA, 51534-5013, US
Phone (712) 629-3305
Fax
Toxanomy
Taxonomy Code 225200000X
License State Nebraska
License Number 618
Remove 1932302593 NPI Number
 

According to our database, Terra Madison PTA NPI is 1932302593, taxonomy code is 225200000X and license number is 618, license state is located at Nebraska. Terra Madison PTA physically located at 1600 Mcpherson Ave, Council Bluffs IA, 51503-4858. NPI Number Terra Madison PTA has the Individual type.

Sponsored links

1932302593 NPI number is provided on an as is basis without warranty of any kind. 1932302593 is maintained by the National Plan & Provider Enumeration System. The contents of Terra Madison PTA are for informational purposes only.