Provider First Line Business Practice Location Address:
411 WEST AGENCY SUITE 1
Provider Second Line Business Practice Location Address:
UNIVERSAL THERAPY GROUP
Provider Business Practice Location Address City Name:
WEST BURLINGTON
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
52655-1702
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
319-752-7899
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/05/2011