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General NPI Number Information
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NPI Number | 1477325132
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Entity Type | Organization
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Legal Business Name | PREMIER PHYSICAL THERAPY OF IOWA
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Dates
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Enumeration Date | 10/26/2023
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Last Update Date | 12/29/2023
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Provider Practice Location Address
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Address Line | 2750 MOUNT PLEASANT ST STE 104
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City | BURLINGTON
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State | IA
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Zip | 52601-2171
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Country | US
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Telephone | 563-370-6751
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Fax | 319-512-7158
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Provider Business Mailing Address
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Address Line | 1130 S SCOTT BLVD STE 1
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City | IOWA CITY
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State | IA
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Zip | 52240-2909
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Country | US
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Telephone | 319-338-5800
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Fax | 319-338-5775
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Authorized Official
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Title or Position | OWNER
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Name | SCOTT M THOMA
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Credential | PT
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Telephone | 563-370-6751
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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