Organization
PROVIDENCE THERAPY SERVICES LLC
Active
Parent organization
PROVIDENCE THERAPY SERVICES LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROVIDENCE THERAPY SERVICES LLC
Authorized official
GENA HUMMEL (OFFICE MANAGER - BILLING)
(563) 242-1170
Entity
Organization
Contact information
Practice address
2320 N 2ND ST, CLINTON, IA 52732-2434
(563) 243-2285
(563) 243-2293
Mailing address
2320 N 2ND ST, CLINTON, IA 52732-2434
(563) 243-2285
(563) 243-2293
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
00085
IA
Other
Enumeration date
07/16/2012
Last updated
07/30/2014
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