Individual
ELIZABETH GRACE SLAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5406 MERLE HAY RD, JOHNSTON, IA 50131-1209
(515) 727-8750
Mailing address
5406 MERLE HAY RD, JOHNSTON, IA 50131-1209
(515) 727-8750
(515) 727-8757
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
120772
IA
Other
Enumeration date
09/04/2023
Last updated
09/04/2023
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