Organization
NORTH IOWA PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY MARIE SPENCER-MCMULLEN (OFFICE MANAGER)
(712) 301-6262
Entity
Organization
Contact information
Practice address
119 N MAIN ST, BUFFALO CENTER, IA 50424-7731
(641) 562-2100
Mailing address
PO BOX 185, BUFFALO CENTER, IA 50424-0185
(641) 562-2100
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004322
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841582731
NPI
IA
Enumeration date
05/10/2011
Last updated
12/14/2011
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