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Organization
PHYSICAL THERAPY PARTNERS
Active
Organization
PHYSICAL THERAPY PARTNERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY KIMBALL PT, ATC (PARTNER)
(319) 233-6995
Entity
Organization
Contact information
Practice address
815 TOWER PARK DR, WATERLOO, IA 50701-9026
(319) 233-6995
(319) 233-7083
Mailing address
815 TOWER PARK DR, WATERLOO, IA 50701-9026
(319) 233-6995
(319) 233-7083
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02905
IA
261QP2000X
Physical Therapy Clinic/Center
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0665539
—
IA
01
—
66553
WELLMARK
IA
Enumeration date
01/23/2006
Last updated
06/03/2010
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