Individual
MRS. MONICA WINCENTSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
122 EUCLID AVE, NORWAY, IA 52318
(319) 610-2215
Mailing address
122 EUCLID AVE, NORWAY, IA 52318-9561
(319) 610-2215
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
00684
IA
Other
Enumeration date
12/11/2015
Last updated
12/11/2015
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