Individual
ALTHEA M PELLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
950 OFFICE PARK RD, SUITE 100, WEST DES MOINES, IA 50265-2549
(515) 224-0979
(515) 223-3862
Mailing address
1630 KIWI AVE, BOONE, IA 50036-7146
(515) 275-4977
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02386
IA
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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