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Individual

BRICE BOECKHOLT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
412 W KENNEDY ST, ALGONA, IA 50511-3100
(515) 341-5636
Mailing address
215 HAWKEYE DR, ALGONA, IA 50511-7220
(515) 341-5636

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0732982
IA

Other

Enumeration date
05/05/2016
Last updated
05/05/2016
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