Individual
JODI LYNN DORAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1402 MAIN ST, MANSON, IA 50563-5160
(712) 469-3908
Mailing address
847 14TH AVE, PO BOX 804, MANSON, IA 50563-7729
(712) 469-3523
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
00126
IA
Other
Enumeration date
03/11/2009
Last updated
03/11/2009
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