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NPI Code Detail

MEDICARE: AGAPE THERAPY CLINIC PC

MEDICARE: AGAPE THERAPY CLINIC PC
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
1225X00000XOccupational Therapist
2225100000XPhysical Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1139650800OTHERIAU.S. DEPTARTMENT OF LABOR

General Provider Information

NPI Number : 1780687939
Entity Type Code : Organization
Provider Name (Legal Business Name) : AGAPE THERAPY CLINIC PC
Provider Business Mailing Address
First Line : 211 W 6TH ST
Second Line :
City : CEDAR FALLS
State : IA
Zip : 50613-2859
Country : US
Telephone Number : 319-277-3166
Fax Number : 319-266-4846
Provider Business Practice Location Address
First Line : 211 W 6TH ST
Second Line :
City : CEDAR FALLS
State : IA
Zip : 50613-2859
Country : US
Telephone Number : 319-277-3166
Fax Number : 319-266-4846
Authorized Official
Title or Position : BUSINESS MANAGER
Name : MS. JOAN TRUEX
Credential :
Telephone Number : 319-277-3166
Provider Enumeration Date : 05/23/2005
Last Update Date : 03/30/2017

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Directions to “AGAPE THERAPY CLINIC PC ” Practice Location

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