Organization
STRIDES THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLY JO DECIOUS OTR/L (OCCUPATIONAL THERAPIST/OWNER)
(641) 780-8041
Entity
Organization
Contact information
Practice address
604 LIBERTY ST, STE 229, PELLA, IA 50219-1775
(641) 780-8041
(641) 621-1177
Mailing address
2397 OLD HIGHWAY 92, TRACY, IA 50256-8534
(641) 621-1122
(641) 621-1177
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
02356
IA
225X00000X
Occupational Therapist
Primary
01692
IA
Other
Enumeration date
01/02/2008
Last updated
10/06/2009
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