Individual
ROBERT THOMAS AUGUSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
5900 E UNIVERSITY AVE, SUITE 303, PLEASANT HILL, IA 50327-8457
(515) 643-5690
(515) 643-5691
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 643-5690
(515) 643-5691
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02636
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4453605
—
IA
Enumeration date
08/15/2005
Last updated
05/17/2010
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