Individual
AMANDA LYNN BIZUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2431 CORAL CT STE 2, CORALVILLE, IA 52241-2838
(319) 545-4104
(319) 545-4105
Mailing address
2431 CORAL CT STE 2, CORALVILLE, IA 52241-2838
(319) 545-4104
(319) 545-4105
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
076196
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
076196
LICENSE
IA
Enumeration date
02/17/2015
Last updated
03/24/2016
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