# ROCK VALLEY PHYSICAL THERAPY CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356806285
- **Authorized official:** RANDALL E BOLDT (CFO)
- **Authorized official phone:** (309) 743-2070

## Contact information

- **Practice address:** 1905 INGERSOLL AVE STE 104, DES MOINES, IA 50309-3305
- **Practice address phone:** (515) 369-2306
- **Practice address fax:** (515) 369-2307
- **Mailing address:** 850 43RD AVE STE 100, MOLINE, IL 61265-8401
- **Mailing address phone:** (309) 743-2070

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 02/05/2019
- **Last updated:** 02/05/2019