Organization
CONCENTRA
Active
Parent organization
CONCENTRA
Other names
Concentra Urgent Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
CONCENTRA
Authorized official
MRS. TAMMY RENEE WHITACRE (PHYSICAL THERAPIST ASSISTANT)
(563) 571-1104
Entity
Organization
Contact information
Practice address
3540 E 46TH ST, DAVENPORT, IA 52807
(563) 359-1170
Mailing address
3540 E 46TH STREET, DAVENPORT, IA 52807
(563) 359-1170
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
01242
IA
Other
Enumeration date
03/24/2014
Last updated
03/24/2014
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