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NPI Code Detail

MEDICARE: LAURA WERSTEIN PTA

MEDICARE:   LAURA  WERSTEIN  PTA
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
1225200000XPhysical Therapy Assistant00903IA

General Provider Information

NPI Number : 1356739445
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA WERSTEIN PTA
Provider Business Mailing Address
First Line : 6255 BEECHTREE DR
Second Line : UNIT 5204
City : WEST DES MOINES
State : IA
Zip : 50266-8699
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6255 BEECHTREE DR
Second Line : UNIT 5204
City : WEST DES MOINES
State : IA
Zip : 50266-8699
Country : US
Telephone Number : 641-425-9861
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/26/2014
Last Update Date : 12/26/2014

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Directions to “ LAURA WERSTEIN PTA” Practice Location

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