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NPI Code Detail

MEDICARE: SIOUX CITY PHYSICAL THERAPY PC

MEDICARE: SIOUX CITY PHYSICAL THERAPY 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
136936OTHERIABCBS GROUP NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346313996
Entity Type Code : Organization
Provider Name (Legal Business Name) : SIOUX CITY PHYSICAL THERAPY PC
Provider Business Mailing Address
First Line : 2802 CASTLES GATE DR
Second Line :
City : SIOUX CITY
State : IA
Zip : 51106-7203
Country : US
Telephone Number : 712-266-0707
Fax Number : 712-266-0709
Provider Business Practice Location Address
First Line : 2802 CASTLES GATE DR
Second Line :
City : SIOUX CITY
State : IA
Zip : 51106-7203
Country : US
Telephone Number : 712-266-0707
Fax Number : 712-266-0709
Authorized Official
Title or Position : OWNER
Name : STEPHEN LEO VENNE
Credential : P.T.
Telephone Number : 712-266-0707
Provider Enumeration Date : 11/15/2006
Last Update Date : 05/10/2023

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1881242832 — ZACHARY SCHOENROCK PT, DPT
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Directions to “SIOUX CITY PHYSICAL THERAPY PC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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