# EASTERN IOWA THERAPEUTICS PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Accelerated Rehabilitation Centers
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023064144
- **Authorized official:** RANDOLPH P FRIESER PT (PRESIDENT SECRETARY)
- **Authorized official phone:** (312) 640-0329

## Contact information

- **Practice address:** 2406 MOMENTUM PL, CHICAGO, IL 60689-0001
- **Practice address phone:** (815) 577-2480
- **Practice address fax:** (815) 577-7535
- **Mailing address:** 205 W WACKER DR, SUITE 1020, CHICAGO, IL 60606-1216

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 02757 | IA | Yes |
| 2251X0800X | Orthopedic Physical Therapist | — | IA | — |
| 225X00000X | Occupational Therapist | — | IA | — |
| 235Z00000X | Speech-Language Pathologist | — | IA | — |

## Other

- **Enumeration date:** 05/26/2006
- **Last updated:** 10/16/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0429076 | — | IA |
| 05 | — | 0665026 | — | IA |