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NPI Code Detail

MEDICARE: OTTUMWA REHABILITATION SPECIALISTS PLC

MEDICARE: OTTUMWA REHABILITATION SPECIALISTS PLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208100000XPhysical Medicine & Rehabilitation PhysicianIA

General Provider Information

NPI Number : 1013960855
Entity Type Code : Organization
Provider Name (Legal Business Name) : OTTUMWA REHABILITATION SPECIALISTS PLC
Provider Business Mailing Address
First Line : 2213 GRAND AVE
Second Line :
City : DES MOINES
State : IA
Zip : 50312-5305
Country : US
Telephone Number : 515-237-3974
Fax Number : 515-883-2692
Provider Business Practice Location Address
First Line : 1001 PENNSYLVANIA AVE
Second Line :
City : OTTUMWA
State : IA
Zip : 52501-6427
Country : US
Telephone Number : 641-684-2902
Fax Number : 641-684-2334
Authorized Official
Title or Position : PRESIDENT AND CEO
Name : MARICHRIS PELOBELLO ZAHNLE
Credential : M.D.
Telephone Number : 641-681-2902
Provider Enumeration Date : 05/19/2006
Last Update Date : 08/22/2020

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Directions to “OTTUMWA REHABILITATION SPECIALISTS PLC ” Practice Location

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