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Organization
PHYSICAL THERAPY AND REHABILITATION SPECIALIST INC.
Active
Organization
PHYSICAL THERAPY AND REHABILITATION SPECIALIST INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN MCVAY (OFFICE MANAGER)
(515) 993-3517
Entity
Organization
Contact information
Practice address
1205 GREENE ST, ADEL, IA 50003-1715
(515) 993-3517
(515) 993-5473
Mailing address
1205 GREENE ST, ADEL, IA 50003-1715
(515) 993-3517
(515) 993-5473
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
NULL
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0665042
—
IA
01
—
66504
BLUE CROSS
IA
Enumeration date
11/01/2006
Last updated
08/22/2020
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