Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 01905 | IA |
NPI | 1003039454 |
---|---|
Provider Name | Christa Beth Claussen |
First Address | Dubuque, IA 52002-9441 |
Second Address | Dubuque, IA 52001-6331 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2007 |
Last Update Date | 08/07/2007 |