Organization
MIDWEST THERAPY, CLINTON
Active
Parent organization
BRAATEN HEALTH LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRAATEN HEALTH LLC
Authorized official
MS. ANNETTE D LANE (ACCOUNTS RECEIVABLE)
(563) 327-0132
Entity
Organization
Contact information
Practice address
1820 W 3RD ST, DAVENPORT, IA 52802-1812
(563) 327-0135
(563) 322-2117
Mailing address
PO BOX 3488, DAVENPORT, IA 52808-3488
(563) 327-0132
(563) 359-5642
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0665828
—
IA
Enumeration date
03/17/2008
Last updated
05/01/2009
Update your record
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