Organization
EASTERN IOWA THERAPEUTICS PC
Active
Other names
Accelerated Rehabilitation Centers
Organization subpart
No
Provider details
NPI number
Authorized official
RANDOLPH P FRIESER PT (PRESIDENT/SECRETARY)
(312) 640-0329
Entity
Organization
Contact information
Practice address
250 S CRESCENT DR, MASON CITY, IA 50401-2926
(641) 422-6995
(641) 422-6577
Mailing address
205 W WACKER DR, SUITE 820, CHICAGO, IL 60606-1216
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IA
225X00000X
Occupational Therapist
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0429076
—
IA
Enumeration date
08/08/2007
Last updated
02/19/2008
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