Eastern Iowa Therapeutics P.c.

NPI #1942707211 in Waverly, Iowa

Provider Information

NPI Number: 1942707211
Entity Type: Organization
Organization Name: Eastern Iowa Therapeutics P.c.
Primary Specialty: Physical Therapist
Enumeration Date: Apr 12, 2018
Last Updated: Apr 12, 2018

Practice Location

Address: 155 CEDAR RIVER PARKWAY
Address 2: SUITE 101
City: Waverly
State: Iowa
ZIP Code: 50677
Phone: (319) 483-0002

Authorized Official

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

Specialties & Taxonomy Codes

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

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