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Individual
JON WOLTZ
Active
Individual
JON WOLTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01407
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01407
IOWA PHYSICAL THERAPY LICENSE
IA
Enumeration date
02/01/2006
Last updated
04/12/2012
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