Organization
EASTERN IOWA PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BETH ANN DESSNER PT (OWNER)
(563) 732-4317
Entity
Organization
Contact information
Practice address
400 OVESEN DRIVE, WILTON, IA 52778-9612
(563) 732-4317
Mailing address
400 OVESEN DR, PO BOX 688, WILTON, IA 52778-9612
(563) 732-4317
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0434340
—
IA
Enumeration date
10/04/2006
Last updated
04/13/2012
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