Individual
NICOLE DEBROWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
300 W MAY ST, MARENGO, IA 52301-1261
(319) 642-5543
Mailing address
1724 D AVE, VICTOR, IA 52347-8561
(319) 430-3446
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
073872
IA
Other
Enumeration date
11/17/2014
Last updated
11/17/2014
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