Individual
SUSAN SIVOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4725 MERLE HAY RD STE 107, DES MOINES, IA 50322-1983
(515) 331-3191
Mailing address
4725 MERLE HAY RD STE 107, DES MOINES, IA 50322-1983
(515) 331-3191
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00970
IA
Other
Enumeration date
01/24/2014
Last updated
01/24/2014
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