Individual
KATHRYN MARIE BOALDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
815 W TOWER PARK DR, WATERLOO, IA 50701-9026
(319) 233-6995
(319) 233-7083
Mailing address
850 43RD AVE, STE 100, MOLINE, IL 61265-8401
(309) 743-2070
(309) 743-2073
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03885
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03885
IOWA PT LICENSE
IA
Enumeration date
03/08/2006
Last updated
04/11/2012
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