A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Clinic/Center |
261Q00000X | |||
Occupational Therapist |
225X00000X | 67 | Occupational Therapist in Private Practice | |
Physical Therapist |
225100000X | 65 | Physical Therapist in Private Practice |
| NPI # | 1598270126 |
| LBN Legal business name | EASTERN IOWA THERAPEUTICS P.C. |
| Authorized official | JUANA GRANADOS - (CREDENTIALING MANAGER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 12/05/2017 |
| Last updated | 12/05/2017 - About 9 years ago |
| Identifiers | n/a |
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