Organization
DUBUQUE PHYSICAL THERAPY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MELVIN HARVEY P.T. (PRESIDENT)
(563) 588-3891
Entity
Organization
Contact information
Practice address
4005 WESTMARK DR, SUITE 320, DUBUQUE, IA 52002-2271
(563) 588-3891
(563) 588-3893
Mailing address
4005 WESTMARK DR, SUITE 320, DUBUQUE, IA 52002-2271
(563) 588-3891
(563) 588-3893
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
U3051
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0129189
—
IA
01
—
1114972775
NPI JASON PUTZ
IA
01
—
1174699128
NPI WILLIAM O'DELL
IA
01
—
1669411922
NPI MEL HARVEY
IA
01
—
1750320016
NPI JASON MEYER
IA
01
—
25550
GROUP BCBS NUMBER
IA
Enumeration date
03/08/2007
Last updated
08/09/2007
Update your record
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