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Organization
TEAM REHAB, LLC
Active
Organization
TEAM REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY LINDSEY LANE MSPT PHYSICAL THERAP (COOWNER PHYSICAL THERAPIST)
(563) 382-4770
Entity
Organization
Contact information
Practice address
516 MONTGOMERY ST, DECORAH, IA 52101-2720
(563) 382-4770
(563) 382-4785
Mailing address
516 MONTGOMERY ST, DECORAH, IA 52101-2720
(563) 382-4770
(563) 382-4785
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34706
BLUE CROSS BLUE SHEILD
IA
01
—
8B768TE
BLUE CROSS BLUE SHEILD
MN
01
—
F245962
MIDLANDS CHOICE
IA
01
—
TN0100
JOHN DEERE
IA
Enumeration date
07/26/2006
Last updated
08/22/2020
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