Individual
BRANDY L SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3385 DEXTER CT, PLAZA PHYSICAL THERAPY, DAVENPORT, IA 52807-3471
(563) 344-6645
(563) 441-7796
Mailing address
240 N BLUFF BLVD, STE 101 PO BOX 337, CLINTON, IA 52732-7146
(563) 519-0242
(563) 241-4353
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03086
IA
225100000X
Physical Therapist
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0289066
—
IA
Enumeration date
10/28/2005
Last updated
11/08/2007
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