Organization
AT HOME THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANNE STECKLEIN PT (OWNER)
(563) 542-6631
Entity
Organization
Contact information
Practice address
16778 CORDILLERA DR, PEOSTA, IA 52068-7016
(563) 542-6631
(563) 557-7007
Mailing address
16778 CORDILLERA DR, PEOSTA, IA 52068-7016
(563) 557-7007
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02077
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487921946
NPI ISSUED FOR ME AS AN INDIVIDUAL PRACTITIONER ABLE TO PROVIDE PT SERVICES
IA
Enumeration date
12/01/2011
Last updated
12/19/2011
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