Organization
THE CENTER FOR LYMPHATIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELISSA ACOSTA M.S., OTR/L,LLCC (OCCUPATIONAL THERAPIST)
(319) 855-8098
Entity
Organization
Contact information
Practice address
2949 SIERRA CT SW STE 1, IOWA CITY, IA 52240-8503
(319) 337-8865
(319) 383-0002
Mailing address
2949 SIERRA CT SW STE 1, IOWA CITY, IA 52240-8503
(319) 337-8865
(319) 383-0002
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
002028
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235401647
INDIVIDUAL NPI
IA
01
—
IB2857
PTAN
IA
Enumeration date
01/13/2014
Last updated
01/13/2014
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