NPI | 1073875779 |
---|---|
Doing Business As | WEST DES MOINES PHYSICAL THERAPY |
Entity Type | Organization |
Authorized Contact | BRIAN SHELLENBERGER President 515-771-8779 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 4657) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 4589) |
Enumeration Date | 2012-06-09 |
Last Update Date | 2012-06-12 |