Individual
ERIC L NEWSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
217 E BREMER AVE, WAVERLY, IA 50677-3435
(319) 352-4544
(319) 352-4655
Mailing address
217 E BREMER AVE, WAVERLY, IA 50677-3435
(319) 352-4544
(319) 352-4655
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
090595
IA
Other
Enumeration date
10/10/2019
Last updated
10/10/2019
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