| Three Rivers Therapy Plc | |
|
2600 Dodge St Ste D4 Dubuque IA 52003-7161 | |
| (715) 252-7059 | |
| Not Available |
| Full Name | Three Rivers Therapy Plc |
|---|---|
| Speciality | Social Worker |
| Location | 2600 Dodge St Ste D4, Dubuque, Iowa |
| Authorized Official Name and Position | James D Klein (OWNER) |
| Authorized Official Contact | 7152527059 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Three Rivers Therapy Plc 2600 Dodge St Ste D4 Dubuque IA 52003-7161 Ph: () - | Three Rivers Therapy Plc 2600 Dodge St Ste D4 Dubuque IA 52003-7161 Ph: (715) 252-7059 |
| NPI Number | 1245954601 |
|---|---|
| Provider Enumeration Date | 09/29/2022 |
| Last Update Date | 09/29/2022 |
| Certification Date | 09/29/2022 |
| Medicare PECOS PAC ID | 0648646513 |
|---|---|
| Medicare Enrollment ID | O20221018000553 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245954601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | James Douglas Klein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447871637 PECOS PAC ID: 1557737426 Enrollment ID: I20221018000595 |
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