Great Lakes Physical Therapy

NPI #1033407507 in Spirit Lake, Iowa

Provider Information

NPI Number
1033407507
Entity Type
Organization
Organization Name
Great Lakes Physical Therapy
Primary Specialty
Speech-Language Pathologist
Enumeration Date
Jul 18, 2011
Last Updated
Jul 18, 2011

Practice Location

Address
3301 BERGQUIST AVE
State
Iowa
ZIP Code
51360-7679
Phone
(712) 336-3500

Authorized Official

Name
MR. LARRY WEBBER, MPT
Title
PART OWNER/PHYSICAL THERAPIST
Phone
(712) 336-3500

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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