Individual
PATRICIA DECAIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2901 149TH ST, URBANDALE, IA 50323-2094
(515) 987-4691
Mailing address
2901 149TH ST, URBANDALE, IA 50323-2094
(515) 987-4691
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
073146
IA
Other
Enumeration date
02/07/2015
Last updated
02/07/2015
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