Plaza Physical Therapy

LBN: Clinton Physical Therapy Services
Plaza Physical Therapy is an health care organization with primary practice located at 3385 Dexter Ct , Davenport IA 52807-3471. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Clinton Physical Therapy Services can be contacted via phone (563) 344-6645, or through Vande Kamp, Gary D via phone (563) 357-0305.

Contact Information

Primary practice address
3385 Dexter Ct Davenport IA 52807-3471
Phone: (563) 344-6645
Fax: (563) 441-7796
Website:
Map and Directions
Authorized official contact:
Name: Vande Kamp, Gary D Physical Therapist (PT)
Phone: (563) 357-0305

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1265612238
LBN Legal business name Clinton Physical Therapy Services
DBA Doing business as Plaza Physical Therapy
Authorized official Vande Kamp, Gary D Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 7th, 2007
Last updated Jun 27th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265612238 NPPES
Iowa Other 0111013 MEDICAID DME

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