Organization
PHYSICAL THERAPY AND REHABILITATION SPECIALIST INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN MCVAY (OFFICE MANAGER)
(515) 993-3517
Entity
Organization
Contact information
Practice address
1205 GREENE ST, ADEL, IA 50003-1715
(515) 993-3517
(515) 993-5473
Mailing address
1205 GREENE ST, ADEL, IA 50003-1715
(515) 993-3517
(515) 993-5473
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0665042
—
IA
01
—
66504
BLUE CROSS
IA
Enumeration date
11/01/2006
Last updated
08/22/2020
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