Individual
MS. JEANNIE MARIE VERSTRAETE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
29970 260TH ST, KEOTA, IA 52248-8632
(309) 236-5538
Mailing address
29970 260TH ST, KEOTA, IA 52248-8632
(309) 236-5538
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
004920
IA
Other
Enumeration date
08/23/2012
Last updated
08/23/2012
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