Individual
LACIE ANNE SURRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
601 HIGHWAY 6 W, IOWA CITY, IA 52246-2209
(319) 338-0581
Mailing address
601 HIGHWAY 6 W, IOWA CITY, IA 52246-2209
(319) 338-0581
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005328
IA
Other
Enumeration date
04/20/2016
Last updated
04/20/2016
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