Organization
TSI COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA KATHERINE NOWAK MS/CCC-SLP (ADMINISTRATOR)
(319) 861-3322
Entity
Organization
Contact information
Practice address
3315 1ST AVE SE, CEDAR RAPIDS, IA 52402-6003
(319) 861-3322
(319) 861-3326
Mailing address
3315 1ST AVE SE, CEDAR RAPIDS, IA 52402-6003
(319) 861-3322
(319) 861-3326
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
166564
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0665646
—
IA
Enumeration date
07/29/2005
Last updated
08/22/2020
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