KALA M FREDERIKSEN

DES MOINES, IA
NPI1053606657
Former NameKALA PLANTZ
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IA  077175)
Additional Taxonomies225100000X Physical Therapist
(Licence: WI  11819-24)
Enumeration Date2011-06-13
Last Update Date2015-04-07
Business Address
-- KALA M FREDERIKSEN PT
1905 INGERSOLL AVE STE 104
DES MOINES, IA 50309-3305
Phone number: 515-369-2306
Mailing Address
-- KALA M FREDERIKSEN PT
850 43RD AVE STE 100
MOLINE, IL 61265-8401
Phone number: 309-743-2070