Individual
BETH BLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2951 VICTORIA ST, BETTENDORF, IA 52722-2784
(563) 345-6317
Mailing address
1767 ZIEGLER AVE, BLUE GRASS, IA 52726-9408
(563) 570-3335
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
116223
IA
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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