Organization
CHILDREN'S CENTER FOR THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHELLEY M. APPEL (ADMINISTRATIVE SUPERVISOR)
(319) 351-5437
Entity
Organization
Contact information
Practice address
1552 MALL DRIVE, IOWA CITY, IA 52240-3110
(319) 351-5437
(319) 351-5432
Mailing address
1552 MALL DRIVE, IOWA CITY, IA 52240-3110
(319) 351-5437
(319) 351-5432
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
01772
IA
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0665844
—
IA
Enumeration date
11/09/2006
Last updated
08/07/2012
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