Organization Name: | CLINTON PHYSICAL THERAPY |
NPI Number: | 1326228255 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GARY D VANDE KAMP (PRESIDENT) |
Mailing Address: | 931 13th Ave N Clinton |
State: | IA US |
Postal Code: | 527325070 |
Phone Number: | 5632437814 |
Fax Number: | 5632432441 |
NPI Enumeration Date: | 11/08/2007 |
NPI Last Update Date: | 10/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |