Individual
MOLLY ANN CAMACHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2590 HOLIDAY RD STE 10, CORALVILLE, IA 52241-2815
(319) 625-3030
(319) 625-3032
Mailing address
20 ZELLER XING APT 207, NORTH LIBERTY, IA 52317-9468
(319) 530-5468
(319) 625-3032
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
03522
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0429274
—
IA
01
—
33606
WELLMARK BCBS
IA
01
—
F232553
MIDLANDS CHOICE
IA
01
—
P00257946
RAILROAD MEDICARE
IA
Enumeration date
07/09/2006
Last updated
07/08/2007
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