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Organization
BRAATEN HEALTH, LLC
Active
Organization
BRAATEN HEALTH, LLC
Active
Other names
Midwest Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
ANNETTE LANE (ADMINISTRATIVE OFFICE)
(563) 327-0132
Entity
Organization
Contact information
Practice address
1820 W 3RD ST, DAVENPORT, IA 52802-1812
(563) 242-2900
(563) 242-2903
Mailing address
PO BOX 3488, DAVENPORT, IA 52808-3488
(563) 327-0132
(563) 359-5642
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0665828
—
IA
Enumeration date
02/15/2006
Last updated
09/23/2009
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