Individual
EDWARD STUBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
212 LAFAYETTE AVE, STORY CITY, IA 50248-1454
(151) 573-3432
Mailing address
5951 VISTA DR APT 522, WEST DES MOINES, IA 50266-7295
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
00734
IA
Other
Enumeration date
01/24/2016
Last updated
01/24/2016
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