Physical And Sports Services Pc | |
616 W Platt St, Maquoketa, IA 52060-2118 | |
(563) 652-4364 | |
Not Available |
Full Name | Physical And Sports Services Pc |
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Type | Facility |
Speciality | Physical Therapist |
Location | 616 W Platt St, Maquoketa, Iowa |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447752142 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 00769 (Iowa) | Primary |
Provider Name | Bruce D Pauls |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1922003359 PECOS PAC ID: 0547209595 Enrollment ID: I20050428000649 |
Mailing Address | Practice Location Address |
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Physical And Sports Services Pc 616 W Platt St, Maquoketa, IA 52060-2118 Ph: (563) 652-4364 | Physical And Sports Services Pc 616 W Platt St, Maquoketa, IA 52060-2118 Ph: (563) 652-4364 |
Sloan Elizabeth Dow, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 700 W Grove St, Maquoketa, IA 52060 Phone: 563-652-4064 Fax: 563-652-4094 | |
Mr. Bruce Dale Pauls, PT,MS,ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 616 W Platt St, Maquoketa, IA 52060 Phone: 563-652-4364 Fax: 563-652-6818 | |
Kelly Meyer, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 601 Hospital Dr, Maquoketa, IA 52060 Phone: 563-652-4064 |