Individual
STEPHANIE JO TAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 28TH AVE N, CLINTON, IA 52732-1955
(563) 243-6600
Mailing address
801 28TH AVE N, CLINTON, IA 52732-1955
(563) 243-6600
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001311
IA
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
07/13/2018
Last updated
04/12/2022
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