Individual
AUTUMNN PARMETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
112 JEFFERSON ST, WEST UNION, IA 52175-1022
(563) 422-3811
Mailing address
300 5TH AVE SE, TRIPOLI, IA 50676-9622
(319) 239-1938
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
075902
IA
Other
Enumeration date
11/03/2014
Last updated
11/03/2014
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