Healthcare Provider Details

I. General information

NPI: 1669502712
Provider Name (Legal Business Name): MONICA J AALBERS MPT, ATC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2007
Last Update Date: 02/09/2023
Certification Date: 02/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 LINCOLN CIRCLE SE
ORANGE CITY IA
51041
US

IV. Provider business mailing address

PO BOX 24
ORANGE CITY IA
51041-0024
US

V. Phone/Fax

Practice location:
  • Phone: 712-737-5234
  • Fax:
Mailing address:
  • Phone: 712-707-5050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number03855
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number020502056
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: