Organization
PHYSICAL THERAPY SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA A HAZELL (PHYSICAL THERAPIST)
(319) 656-3177
Entity
Organization
Contact information
Practice address
423 B AVE, KALONA, IA 52247-0535
(319) 656-3177
(319) 656-5241
Mailing address
PO BOX 535, KALONA, IA 52247-0535
(319) 656-3177
(319) 656-5241
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00261
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0423475
—
IA
Enumeration date
02/14/2007
Last updated
10/10/2007
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