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Individual

KATIE A LINGLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOT OTRL

Contact information

Practice address
1377 11TH ST NW, CLINTON, IA 52732-5068
(563) 241-4230
(563) 241-4233
Mailing address
1377 11TH ST NW, CLINTON, IA 52732-5068
(563) 241-4230
(563) 241-4233

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
01652
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0665711
IA
01
56277
BLUE CROSS BLUE SHIELD
IA
01
I20664
MEDICARE
IA
Enumeration date
08/01/2006
Last updated
12/27/2007
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