Providence Therapy Services LLC

NPI #1477808533 in Clinton, Iowa

Provider Information

NPI Number: 1477808533
Entity Type: Organization
Organization Name: Providence Therapy Services LLC
Subpart: Yes (part of a larger organization)
Parent Organization: PROVIDENCE THERAPY SERVICES LLC
Primary Specialty: Rehabilitation Practitioner
Enumeration Date: Jul 16, 2012
Last Updated: Jul 30, 2014

Practice Location

Address: 2320 N 2ND ST
City: Clinton
State: Iowa
ZIP Code: 52732-2434
Phone: (563) 243-2285

Authorized Official

Name: GENA HUMMEL
Title: OFFICE MANAGER - BILLING
Phone: (563) 242-1170

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Rehabilitation Practitioner	225400000X	Primary

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