Individual
ALLEN GARY LAUBENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1454 30TH ST, SUITE 103, WEST DES MOINES, IA 50266-1305
(515) 223-6620
(515) 223-9625
Mailing address
1454 30TH ST, SUITE 103, WEST DES MOINES, IA 50266-1305
(515) 223-6620
(515) 223-9625
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03444
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0665190
—
IA
Enumeration date
07/14/2009
Last updated
07/14/2009
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