Organization Name: | STRIDES THERAPY CENTER |
NPI Number: | 1174708689 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KELLY JO DECIOUS (OCCUPATIONAL THERAPIST/OWNER) |
Mailing Address: | 604 Liberty St Ste 229 Pella |
State: | IA US |
Postal Code: | 502191775 |
Phone Number: | 6417808041 |
Fax Number: | 6416211177 |
NPI Enumeration Date: | 01/02/2008 |
NPI Last Update Date: | 10/06/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 02356 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |