Individual
CHARLEEN K HOMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1500 ASSOCIATES DR, DUBUQUE, IA 52002-2201
(563) 584-4465
(563) 584-4395
Mailing address
1500 ASSOCIATES DR, DUBUQUE, IA 52002-2201
(563) 584-4100
(563) 584-4110
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00813
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1040345
—
IA
Enumeration date
05/11/2006
Last updated
03/28/2013
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