Individual
MISS LARA DANIELLE BRESEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2538 MEADOWDALE ST, OTTUMWA, IA 52501-1262
(641) 814-4806
Mailing address
2538 MEADOWDALE ST, OTTUMWA, IA 52501-1262
(641) 814-4806
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
01091
IA
Other
Enumeration date
04/08/2009
Last updated
04/08/2009
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