Provider First Line Business Practice Location Address:
301 N ANKENY BLVD SUITE 200
Provider Second Line Business Practice Location Address:
ANKENY PHYSICAL SPORTS THERAPY
Provider Business Practice Location Address City Name:
ANKENY
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
50021
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
515-965-1422
Provider Business Practice Location Address Fax Number:
515-965-1449
Provider Enumeration Date:
03/27/2006