Central Therapy Services, Llc | |
602 12th St De Witt IA 52742-1124 | |
(563) 293-1655 | |
Not Available |
Full Name | Central Therapy Services, Llc |
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Speciality | Clinic/Center |
Location | 602 12th St, De Witt, Iowa |
Authorized Official Name and Position | Leanna Bender (SPEECH-LANGUAGE PATHOLOGIST) |
Authorized Official Contact | 5632931655 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Central Therapy Services, Llc 602 12th St De Witt IA 52742-1124 Ph: () - | Central Therapy Services, Llc 602 12th St De Witt IA 52742-1124 Ph: (563) 293-1655 |
NPI Number | 1437767266 |
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Provider Enumeration Date | 07/17/2020 |
Last Update Date | 02/19/2023 |
Medicare PECOS PAC ID | 7517383896 |
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Medicare Enrollment ID | O20200818000100 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437767266 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Leanna J Bender |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1386030807 PECOS PAC ID: 6204198922 Enrollment ID: I20180316001337 |
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