Individual
DIANE K RITENOUR
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
915 13TH AVE N, CLINTON PHYSICAL THERAPY, CLINTON, IA 52732-5067
(563) 243-7814
(563) 243-2441
Mailing address
PO BOX 337, 240 N BLUFF BLVD STE 101 CLINTON PHYSICAL THERAPY SVCS, CLINTON, IA 52733-0337
(563) 519-0242
(563) 241-4353
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02683
IA
225100000X
Physical Therapist
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0220996
—
IA
Enumeration date
09/26/2005
Last updated
07/08/2007
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