Great Lakes Physical Therapy

NPI 1033407507 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1033407507
Enumeration Date 07/18/2011
Last Updated 07/18/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name LARRY LARRY
Position PART OWNER/PHYSICAL THERAPIST
Phone (712) 336-3500
Fax (712) 336-3505
Practice Location
3301 BERGQUIST AVE
SPIRIT LAKE IA, 51360-7679, US
Phone (712) 336-3500
Fax (712) 336-3505
Business Location
3301 BERGQUIST AVE
SPIRIT LAKE IA, 51360-7679, US
Phone (712) 336-3500
Fax (712) 336-3505
Toxanomy
Taxonomy Code 235Z00000X
License State Iowa
License Number 002082
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According to our database, Great Lakes Physical Therapy NPI is 1033407507, taxonomy code is 235Z00000X and license number is 002082, license state is located at Iowa. Great Lakes Physical Therapy physically located at 3301 Bergquist Ave, Spirit Lake IA, 51360-7679. NPI Number 1033115704 has the healthcare provider type.

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1033407507 NPI number is provided on an as is basis without warranty of any kind. 1033407507 is maintained by the National Plan & Provider Enumeration System. The contents of Great Lakes Physical Therapy are for informational purposes only.