Organization
KELSIE DEERING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELSIE DEERING COTA (OCCUPATIONAL THERAPY ASSISTANT)
(319) 540-2860
Entity
Organization
Contact information
Practice address
1417 FAN RD, WAUKON, IA 52172-7729
(319) 540-2860
Mailing address
1417 FAN RD, WAUKON, IA 52172-7729
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
080450
IA
Other
Enumeration date
03/23/2016
Last updated
03/23/2016
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