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Organization
INTEGRATION PHYSICAL THERAPY, LLC
Active
Organization
INTEGRATION PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANE A STANLEY M.P.T., P.R.C. (DIRECTOR/OWNER)
(712) 490-3494
Entity
Organization
Contact information
Practice address
3450 S LAKEPORT ST STE B, SIOUX CITY, IA 51106-4543
(712) 276-2906
(712) 276-3090
Mailing address
3450 S LAKEPORT ST STE B, SIOUX CITY, IA 51106-4543
(712) 276-2906
(712) 276-3090
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02786
IA
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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