Individual
REBECCA RAE FETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
300 VIRGIL AVE, MOUNT VERNON, IA 52314-9569
(319) 865-8655
Mailing address
203 S IOWA ST, SOLON, IA 52333-9434
(618) 964-6393
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
087231
IA
Other
Enumeration date
08/07/2017
Last updated
01/12/2022
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