GERALD BOUSLOG

DES MOINES, IA
NPI1477666436
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IA  02853)
Enumeration Date2006-08-16
Last Update Date2009-04-14
Business Address
-- GERALD BOUSLOG PT
604 LOCUST ST SUITE 210
DES MOINES, IA 50309-3705
Phone number: 515-282-7019
Mailing Address
-- GERALD BOUSLOG PT
PO BOX 1475
DES MOINES, IA 50305-1475
Phone number: 515-282-7219
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