Organization
TIME OF YOUR LIFE FITNESS & PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHRYN ANN CARDAMON PT (OWNER PHYSICAL THERAPIST)
(319) 354-3824
Entity
Organization
Contact information
Practice address
526 SOUTHGATE AVE, IOWA CITY, IA 52240-4426
(319) 354-3824
(319) 354-3826
Mailing address
526 SOUTHGATE AVE, IOWA CITY, IA 52240-4426
(319) 354-3824
(319) 354-3826
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02189
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34894
WELLMARK
IA
Enumeration date
07/18/2006
Last updated
08/22/2020
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