Individual
MR. DUSTIN M ROCKWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
314 S ELM AVE, LOGAN, IA 51546-1442
(712) 644-2922
Mailing address
5320 N ST, OMAHA, NE 68117-1837
(970) 497-0251
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
004852
IA
Other
Enumeration date
12/06/2011
Last updated
12/06/2011
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