Organization
PHYSICAL THERAPY CONSULTANTS, LC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BETTINA J HERMISTON MPT, CFMT (OWNER/DIRECTOR)
(563) 343-3908
Entity
Organization
Contact information
Practice address
802 BLUFF LN, LECLAIRE, IA 52753-9396
(563) 343-3908
Mailing address
802 BLUFF LN, LECLAIRE, IA 52753-9396
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
03384
IA
Other
Enumeration date
09/14/2006
Last updated
07/24/2008
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