Organization
PHYSICAL MEDICINE & REHABILITATION ASSOCIATES OF NORTHEAST IOWA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARID F MANSHADI MD (PRESIDENT)
(319) 234-0109
Entity
Organization
Contact information
Practice address
36 W PARK LANE, WATERLOO, IA 50701-5178
(319) 234-0109
(319) 234-5774
Mailing address
36 W PARK LN, WATERLOO, IA 50701-5178
(319) 234-0109
(319) 234-5774
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
27493
IA
363L00000X
Nurse Practitioner
J-054600
IA
Other
Enumeration date
08/22/2007
Last updated
05/12/2014
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