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Organization

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Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. BARBARA JEAN EATON (CEO/PTA)
(319) 795-2028
Entity
Organization

Contact information

Practice address
1496 PERKINS RD, WEVER, IA 52658-9512
(319) 528-4708
(319) 528-4078
Mailing address
1496 PERKINS RD, WEVER, IA 52658-9512
(319) 528-4708

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
00560
IA

Other

Enumeration date
07/18/2012
Last updated
07/18/2012
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