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NPI Code Detail

MEDICARE: THE PHYSICAL THERAPY CENTER, PC

MEDICARE: THE PHYSICAL THERAPY CENTER, 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
12251X0800XOrthopedic Physical Therapist00892IA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1689822488
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE PHYSICAL THERAPY CENTER, PC
Provider Business Mailing Address
First Line : 1747 E. 54TH ST.
Second Line :
City : DAVENPORT
State : IA
Zip : 52807-2769
Country : US
Telephone Number : 563-355-3867
Fax Number : 563-355-0806
Provider Business Practice Location Address
First Line : 1747 E. 54TH ST.
Second Line :
City : DAVENPORT
State : IA
Zip : 52807-2769
Country : US
Telephone Number : 563-355-3867
Fax Number : 563-355-0806
Authorized Official
Title or Position : PRESIDENT/OWNER
Name : DAVID L SCOTT
Credential : P.T.
Telephone Number : 563-355-3867
Provider Enumeration Date : 09/04/2008
Last Update Date : 09/04/2008

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Directions to “THE PHYSICAL THERAPY CENTER, PC ” Practice Location

Language Start Address Practice Location
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