Individual
LAURA EBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
640 S 19TH ST, NEVADA, IA 50201-2902
(515) 382-7008
Mailing address
PO BOX 461, NEVADA, IA 50201-0461
(515) 382-3366
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
096639
IA
Other
Enumeration date
08/01/2019
Last updated
08/01/2019
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