Healthcare Provider Details

I. General information

NPI: 1447388962
Provider Name (Legal Business Name): PATRICIA LAWTON PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 TOWNCREST DR
IOWA CITY IA
52240-6631
US

IV. Provider business mailing address

2401 TOWNCREST DR
IOWA CITY IA
52240-6631
US

V. Phone/Fax

Practice location:
  • Phone: 319-354-2429
  • Fax: 319-354-6100
Mailing address:
  • Phone: 319-354-2429
  • Fax: 319-354-6100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number00943
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: