Individual
VICKY CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
222 15TH ST, ONAWA, IA 51040-1025
(615) 896-6400
Mailing address
3247 GRANDVIEW BLVD, SIOUX CITY, IA 51104-2525
(712) 255-3039
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
585
IA
Other
Enumeration date
06/05/2007
Last updated
07/08/2007
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