Individual
STEPHANIE DITTMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1820 W 3RD ST, DAVENPORT, IA 52802-1812
(563) 327-0135
(563) 322-2117
Mailing address
1021 1/2 W 16TH ST, DAVENPORT, IA 52804-3803
(563) 327-0135
(563) 322-2117
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001424
IA
225200000X
Physical Therapy Assistant
160.005598
IL
Other
Enumeration date
01/01/2015
Last updated
01/01/2015
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