At Home Therapy Pc

NPI 1184992414 - Physical Therapist - 225100000X

NPI Details
NPI 1184992414
Enumeration Date 12/01/2011
Last Updated 12/19/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name DIANNE DIANNE
Position OWNER
Phone (563) 542-6631
Fax (563) 557-7007
Practice Location
16778 CORDILLERA DR
PEOSTA IA, 52068-7016, US
Phone (563) 542-6631
Fax (563) 557-7007
Business Location
16778 CORDILLERA DR
PEOSTA IA, 52068-7016, US
Phone
Fax (563) 557-7007
Toxanomy
Taxonomy Code 225100000X
License State Iowa
License Number 02077
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According to our database, At Home Therapy Pc NPI is 1184992414, taxonomy code is 225100000X and license number is 02077, license state is located at Iowa. At Home Therapy Pc physically located at 16778 Cordillera Dr, Peosta IA, 52068-7016. NPI Number 1033115704 has the healthcare provider type.

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1184992414 NPI number is provided on an as is basis without warranty of any kind. 1184992414 is maintained by the National Plan & Provider Enumeration System. The contents of At Home Therapy Pc are for informational purposes only.