Individual
CAROLYN JANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2301 EASTERN AVE, RED OAK, IA 51566-1300
(712) 623-7163
Mailing address
300 HUNTER AVE STE 200, SAINT LOUIS, MO 63124-2064
(844) 518-9663
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
082632
IA
225100000X
Physical Therapist
Primary
4036
NE
Other
Enumeration date
11/08/2016
Last updated
01/09/2020
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