| Bryan Boardsen, MOT | |
|
815 W Tower Park Dr, Waterloo, IA 50701-9026 | |
| (319) 233-6995 | |
| (319) 233-7083 |
| Full Name | Bryan Boardsen |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 815 W Tower Park Dr, Waterloo, Iowa |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700036043 | NPI | - | NPPES |
| 002042 | Other | IA | IOWA PT LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 056-008438 (Illinois) | Secondary |
| 225X00000X | Occupational Therapist | 002042 (Iowa) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan Boardsen, MOT 850 43rd Ave, Suite 100, Moline, IL 61265-8401 Ph: (309) 743-2070 | Bryan Boardsen, MOT 815 W Tower Park Dr, Waterloo, IA 50701-9026 Ph: (319) 233-6995 |
Paul Jstin Marcoux, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 2651 Saint Francis Dr, Waterloo, IA 50702 Phone: 319-232-6808 | |
Stephen M. Kieszkowski, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1825 Logan Ave, Waterloo, IA 50703 Phone: 319-235-3885 Fax: 319-235-5295 | |
Linda Westpfahl, OTRL,CHT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 211 E Ridgeway Ave, Waterloo, IA 50702 Phone: 319-272-2902 Fax: 319-272-2923 | |
Karagan Dawn Fisher, OTD Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 600 Park Ln, Waterloo, IA 50702 Phone: 319-291-8100 | |
Tamra S Knipp, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 815 Tower Park Dr., Waterloo, IA 50701 Phone: 319-233-6995 Fax: 319-233-7083 | |
Cody Lynn Lafler, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 2160 Logan Ave, Waterloo, IA 50703 Phone: 319-226-8560 Fax: 319-226-8565 |