# MOUNTAIN LAUREL PHYSICAL THERAPY AND REHABILITATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mountain Laurel Physical Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891498671
- **Authorized official:** DR. ANNETTE SMITH PT, DPT (DOCTOR OF PHYSICAL THERAPY/OWNER)
- **Authorized official phone:** (515) 473-4725

## Contact information

- **Practice address:** 8365 UNIVERSITY BLVD, CLIVE, IA 50325-1124
- **Practice address phone:** (515) 473-4725
- **Mailing address:** 10574 GREENBELT DR, CLIVE, IA 50325-6617
- **Mailing address phone:** (515) 473-4725

## Taxonomy

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

## Other

- **Enumeration date:** 03/22/2023
- **Last updated:** 12/08/2023