Individual
MARY HELWEG-HERDLISKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
830 S 5TH ST, OSAGE, IA 50461-1919
(641) 732-4418
Mailing address
1755 HICKORY AVE, RUDD, IA 50471-8012
(641) 395-2225
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
01062
IA
Other
Enumeration date
07/02/2007
Last updated
07/08/2007
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