Individual
ELIZABETH TOLLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102A EAST SOUTH ST., RICHLAND, IA 52585
(641) 777-6604
Mailing address
819 COUNTRY LANE RD, KEOSAUQUA, IA 52565-1001
(319) 293-3761
(319) 293-6379
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
081463
IA
Other
Enumeration date
03/11/2016
Last updated
03/11/2016
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