Organization
CEDAR HAND THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CONNIE M RYSTROM OTR/L, CHT (OWNER)
(319) 366-1886
Entity
Organization
Contact information
Practice address
2750 1ST AVE NE, SUITE 200, CEDAR RAPIDS, IA 52402-4831
(319) 366-1886
(319) 366-1611
Mailing address
2750 1ST AVE NE, SUITE 200, CEDAR RAPIDS, IA 52402-4831
(319) 366-1886
(319) 366-1611
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
00152
IA
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
05/26/2015
Last updated
10/13/2016
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