MITCHELL HERMAN FONLEY

WATERLOO, IA
NPI1992758163
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IA  03651)
Enumeration Date2006-05-18
Last Update Date2022-02-04
Business Address
MITCHELL HERMAN FONLEY PT
1631 LOGAN AVE
WATERLOO, IA 50703-1237
Phone number: 319-232-2630
Mailing Address
MITCHELL HERMAN FONLEY PT
PO BOX 2758
WATERLOO, IA 50704-2758
Phone number: 319-833-5900
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