Organization
GREAT LAKES PHYSICAL THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID J HALLAND P.T. (PHYSICAL THERAPIST)
(712) 320-2722
Entity
Organization
Contact information
Practice address
2714 CENTER LAKE DR, SPIRIT LAKE, IA 51360-7268
(712) 320-2722
Mailing address
2714 CENTER LAKE DR, SPIRIT LAKE, IA 51360-7268
(712) 320-2722
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
055168
IA
Other
Enumeration date
07/22/2010
Last updated
07/22/2010
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