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Organization
WORK SYSTEMS REHAB, PC
Active
Organization
WORK SYSTEMS REHAB, PC
Active
Other names
Kinetic Edge Physical Therapy, Work Systems Rehab & Fitness, PC
Organization subpart
No
Provider details
NPI number
Authorized official
RENAE OPPENHUIZEN (PRACTICE MANAGER)
(641) 204-0046
Entity
Organization
Contact information
Practice address
604 LIBERTY ST STE 227, PELLA, IA 50219-1776
(641) 621-0230
(641) 621-0319
Mailing address
604 LIBERTY ST STE 227, PELLA, IA 50219-1776
(641) 621-0230
(641) 621-0319
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0423806
—
IA
01
—
31057
WELLMARK
IA
01
—
I9188
MEDICARE PTAN
IA
Enumeration date
10/13/2006
Last updated
07/18/2019
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