Organization
PHYSICAL AND SPORTS SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA PAULS (OFFICE MANAGER)
(563) 652-4364
Entity
Organization
Contact information
Practice address
616 W PLATT ST, MAQUOKETA, IA 52060-2118
(563) 652-4364
Mailing address
616 W PLATT ST, MAQUOKETA, IA 52060-2118
(563) 652-4364
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00769
IA
Other
Enumeration date
03/08/2018
Last updated
04/10/2018
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