Individual
MS. DANA F VAN DER KIEFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
308 N IVY ST, CANBY, OR 97013-3704
(503) 263-6786
(503) 263-6451
Mailing address
PO BOX 52194, DEPT CODE 960, PHOENIX, AZ 85072-2194
(503) 489-1781
(503) 489-1650
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5156
OR
Other
Enumeration date
04/20/2006
Last updated
10/23/2008
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