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Organization

CLINTON PHYSICAL THERAPY

Active
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Organization

CLINTON PHYSICAL THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GARY D VANDE KAMP P.T. (PRESIDENT)
(563) 357-0305
Entity
Organization

Contact information

Practice address
931 13TH AVE N, CLINTON, IA 52732-5070
(563) 243-7814
(563) 243-2441
Mailing address
931 13TH AVE N, CLINTON, IA 52732-5070
(563) 243-7814
(563) 243-2441

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0111013
MEDICAID DME
IA
Enumeration date
11/08/2007
Last updated
10/20/2008
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