Organization
UNIVERSAL THERAPY GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CINNAMON LYNN VILLEBRUN M.S, B.S, OTR/L (MEMBER)
(319) 750-1911
Entity
Organization
Contact information
Practice address
2750 MOUNT PLEASANT ST, SUITE 104, BURLINGTON, IA 52601-2136
(319) 750-1911
Mailing address
2750 MOUNT PLEASANT ST, SUITE 104, BURLINGTON, IA 52601-2136
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
001894
IA
Other
Enumeration date
06/04/2011
Last updated
11/10/2016
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