Individual
COLE LUEDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1377 11TH ST NW, CLINTON, IA 52732-5068
(563) 241-4230
Mailing address
115 12TH AVE, DE WITT, IA 52742-1833
(563) 503-1570
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
088976
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2020
SKILLED PHYSICAL THERAPY
IA
Enumeration date
05/22/2022
Last updated
05/22/2022
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