# EASTERN IOWA PHYSICAL THERAPY PC

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

## Provider details

- **NPI number:** 1790870566
- **Authorized official:** MS. BETH ANN DESSNER PT (OWNER)
- **Authorized official phone:** (563) 732-4317

## Contact information

- **Practice address:** 400 OVESEN DRIVE, WILTON, IA 52778-9612
- **Practice address phone:** (563) 732-4317
- **Mailing address:** 400 OVESEN DR, PO BOX 688, WILTON, IA 52778-9612
- **Mailing address phone:** (563) 732-4317

## Taxonomy

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

## Other

- **Enumeration date:** 10/04/2006
- **Last updated:** 04/13/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0434340 | — | IA |