Organization
GREAT LAKES PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY WEBBER MPT (PART OWNER/PHYSICAL THERAPIST)
(712) 336-3500
Entity
Organization
Contact information
Practice address
3301 BERGQUIST AVE, SPIRIT LAKE, IA 51360-7679
(712) 336-3500
(712) 336-3505
Mailing address
3301 BERGQUIST AVE, SPIRIT LAKE, IA 51360-7679
(712) 336-3500
(712) 336-3505
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
002082
IA
Other
Enumeration date
07/18/2011
Last updated
07/18/2011
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