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Individual

MS. JANICE S PIDGEON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
811 3RD ST, KALONA, IA 52247-9493
(319) 656-2421
Mailing address
905 14TH AVE, CORALVILLE, IA 52241-1744
(319) 339-4535

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
00582
IA

Other

Enumeration date
06/14/2012
Last updated
06/14/2012
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