Organization
ROCK VALLEY PHYSICAL THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL E BOLDT (CFO)
(309) 743-2070
Entity
Organization
Contact information
Practice address
1905 INGERSOLL AVE STE 104, DES MOINES, IA 50309-3305
(515) 369-2306
(515) 369-2307
Mailing address
850 43RD AVE STE 100, MOLINE, IL 61265-8401
(309) 743-2070
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0565937
—
IA
Enumeration date
02/05/2019
Last updated
02/05/2019
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