Individual
ELIZABETH A PROCTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3 PENNSYLVANIA PL, OTTUMWA, IA 52501-2165
(641) 683-3372
Mailing address
9303 170TH AVE, OTTUMWA, IA 52501-8874
(641) 680-7614
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
05/13/2021
Last updated
05/13/2021
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