Organization
EASTERN IOWA THERAPEUTICS PC
Active
Other names
Athletico Ltd
Organization subpart
No
Provider details
NPI number
Authorized official
JUANA FERNANDEZ (CREDENTIALING MANAGER)
(630) 575-1980
Entity
Organization
Contact information
Practice address
5300 FOUNTAINS DR NE, SUITE 106, CEDAR RAPIDS, IA 52411-6607
(319) 378-6958
(319) 378-6938
Mailing address
5300 FOUNTAINS DR NE, SUITE 106, CEDAR RAPIDS, IA 52411-6607
(319) 378-6958
(319) 378-6938
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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