Organization
MIDWEST PHYSICAL THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES BURKE HOLTE PT OCS CSCS (OWNER PT PRESIDENT)
(319) 545-4104
Entity
Organization
Contact information
Practice address
2431 CORAL CT, SUITE 2, CORALVILLE, IA 52241-2838
(319) 545-4104
(319) 545-4105
Mailing address
2431 CORAL CT, SUITE 2, CORALVILLE, IA 52241-2838
(319) 545-4104
(319) 545-4105
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104805977
—
IA
Enumeration date
01/11/2006
Last updated
01/10/2012
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