Individual
NANCY PIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1205 N ANKENY BLVD, STE 201, ANKENY, IA 50023-4009
(515) 224-4819
Mailing address
1205 N ANKENY BLVD, STE 201, ANKENY, IA 50023-4009
(515) 224-4819
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
01/06/2017
Last updated
01/06/2017
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