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NPI Code Detail

MEDICARE: MARYBETH SIMPKIN-HICHWA

MEDICARE: MARYBETH SIMPKIN-HICHWA
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
1225100000XPhysical Therapist1535IA
2225X00000XOccupational Therapist00657IA

General Provider Information

NPI Number : 1326178864
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARYBETH SIMPKIN-HICHWA
Provider Business Mailing Address
First Line : 2350 OAKDALE BLVD.
Second Line :
City : CORALVILLE
State : IA
Zip : 52241-9702
Country : US
Telephone Number : 319-351-5437
Fax Number : 319-351-5432
Provider Business Practice Location Address
First Line : 2350 OAKDALE BLVD.
Second Line :
City : CORALVILLE
State : IA
Zip : 52241-9702
Country : US
Telephone Number : 319-351-5437
Fax Number : 319-351-5432
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2007
Last Update Date : 01/25/2018

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Directions to “ MARYBETH SIMPKIN-HICHWA ” Practice Location

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