Eastern Iowa Therapeutics P.c.

NPI #1689144313 in Adel, Iowa

Provider Information

NPI Number: 1689144313
Entity Type: Organization
Organization Name: Eastern Iowa Therapeutics P.c.
Primary Specialty: Clinic/Center
Enumeration Date: Nov 26, 2018
Last Updated: Nov 26, 2018

Practice Location

Address: 513 NILE KINNICK S
Address 2: STE A
City: Adel
State: Iowa
ZIP Code: 50003-2111
Phone: (515) 219-3118

Authorized Official

Name: JUANA GRANADOS
Title: CREDENTIALING MANAGER
Phone: (630) 575-1980

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X
Occupational Therapist	225X00000X
Clinic/Center	261Q00000X	Primary

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