Organization
SWEET PEA'S THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REBECCA LYNN DRISH M.S.,CCC-SLP (OWNER)
(563) 441-3000
Entity
Organization
Contact information
Practice address
4429 E 56TH ST, DAVENPORT, IA 52807-2995
(563) 441-3000
(563) 441-3020
Mailing address
4429 E 56TH ST, DAVENPORT, IA 52807-2995
(563) 441-3000
(563) 441-3020
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
IA
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
01724
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01724
—
IA
Enumeration date
01/10/2012
Last updated
03/20/2015
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