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Individual

AMY E HOEG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
1008 W 35TH ST, DAVENPORT, IA 52806-5827
(563) 324-2263
(563) 324-0719
Mailing address
850 43RD AVE STE 100, MOLINE, IL 61265-8401
(309) 743-2070
(309) 743-2073

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02320
IA
225100000X
Physical Therapist
070-009580
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02320
IOWA PT LICENSE NUMBER
IA
01
070-009580
ILLINOIS PT LICENSE NO
IL
Enumeration date
05/11/2006
Last updated
04/11/2012
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