# ROCK VALLEY PHYSICAL THERAPY CENTER

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

## Provider details

- **NPI number:** 1952444606
- **Authorized official:** RANDY E BOLDT (CFO)
- **Authorized official phone:** (309) 743-2070

## Contact information

- **Practice address:** 3385 DEXTER CT, SUITE 203, DAVENPORT, IA 52807-3471
- **Practice address phone:** (563) 332-9312
- **Practice address fax:** (563) 332-9316
- **Mailing address:** 850 43RD AVE, SUITE 100, MOLINE, IL 61265-8401
- **Mailing address phone:** (309) 743-2070
- **Mailing address fax:** (309) 743-2073

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | IA | Yes |
| 225X00000X | Occupational Therapist | — | IA | — |

## Other

- **Enumeration date:** 02/14/2007
- **Last updated:** 08/04/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0565937 | — | IA |