Organization
ABUNDANT HEALTH PHYSICAL MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA ALONGI NP (OWNER)
(563) 275-6332
Entity
Organization
Contact information
Practice address
2227 JERSEY RIDGE RD, DAVENPORT, IA 52803-2315
(563) 275-6332
Mailing address
2227 JERSEY RIDGE RD, DAVENPORT, IA 52803-2315
(563) 275-6332
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
225100000X
Physical Therapist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649690249
DC
—
01
—
1932665064
NP
—
Enumeration date
02/26/2020
Last updated
02/28/2024
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