Individual
MRS. LISA NEREM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
209 W 2ND ST, MADRID, IA 50156-1211
(515) 795-2427
(515) 795-2782
Mailing address
PO BOX 461, NEVADA, IA 50201-0461
(515) 382-3366
(515) 382-1576
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001449
IA
Other
Enumeration date
08/13/2010
Last updated
08/10/2011
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