Organization
FULL CIRCLE PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROXANNE JACKSON MPT (OWNER/CEO)
(563) 608-2061
Entity
Organization
Contact information
Practice address
1953 145TH AVE, MANCHESTER, IA 52057-8826
(563) 608-2061
(563) 927-8138
Mailing address
1953 145TH AVE, MANCHESTER, IA 52057-8826
(563) 608-2061
(563) 927-8138
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02524
IA
Other
Enumeration date
05/12/2010
Last updated
05/12/2010
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