Individual
EMMANUEL JR. DY-LIACCO FLORES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2700 1ST AVE S, SUITE 200, FORT DODGE, IA 50501-4306
(515) 955-6922
(515) 955-2463
Mailing address
825 12TH AVE N, FORT DODGE, IA 50501-2527
(515) 576-6524
(515) 955-2463
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02594
IA
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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