# EASTERN IOWA PHYSICAL THERAPY, PC

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

## Provider details

- **NPI number:** 1790911626
- **Authorized official:** BETH DESSNER P. T. (PRESIDENT)
- **Authorized official phone:** (563) 732-4317

## Contact information

- **Practice address:** 413 S MISSISSIPPI ST, BLUE GRASS, IA 52726-9127
- **Practice address phone:** (563) 381-8793
- **Mailing address:** PO BOX 688, WILTON, IA 52778-0688
- **Mailing address phone:** (563) 732-4317

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | — | IA | Yes |

## Other

- **Enumeration date:** 06/05/2009
- **Last updated:** 06/05/2009
