Organization
OT INTEGRATED HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY R CONNER (PRESIDENT)
(563) 355-7411
Entity
Organization
Contact information
Practice address
2206 E 52ND ST STE A, DAVENPORT, IA 52807-2790
(563) 355-7411
(563) 355-7431
Mailing address
2206 E 52ND ST STE A, DAVENPORT, IA 52807-2790
(563) 355-7411
(563) 355-7431
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
00835
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00835
IOWA LICENSE
IA
Enumeration date
04/21/2014
Last updated
04/21/2014
Update your record
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