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1306520911
JOSEPH LYDIATT
COUNCIL BLUFFS, IA
NPI
1306520911
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NE 4513)
Enumeration Date
2023-06-14
Last Update Date
2023-06-14
Business Address
JOSEPH LYDIATT
301 W BROADWAY STE 100
COUNCIL BLUFFS, IA 51503-9071
Phone number: 712-322-9688
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Mailing Address
JOSEPH LYDIATT
301 W BROADWAY STE 100
COUNCIL BLUFFS, IA 51503-9071
Phone number:
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