Individual
KATRINA ANN GREVENGOED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
789 HOLTON DR, LE MARS, IA 51031-3757
(712) 546-1718
Mailing address
1802 CALVIN CT APT 7, IOWA CITY, IA 52246-3107
(712) 541-4612
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
117763
IA
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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