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Organization
EASTERN IOWA PHYSICAL THERAPY PC
Active
Organization
EASTERN IOWA PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BETH ANN DESSNER PT (OWNER)
(563) 732-4317
Entity
Organization
Contact information
Practice address
400 OVESEN DRIVE, WILTON, IA 52778-9612
(563) 732-4317
Mailing address
400 OVESEN DR, PO BOX 688, WILTON, IA 52778-9612
(563) 732-4317
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0434340
—
IA
Enumeration date
10/04/2006
Last updated
04/13/2012
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