Individual
JUSTINE ZIKUDA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
3820 PHEASANT LN, WATERLOO, IA 50701-5200
(319) 233-6995
Mailing address
3820 PHEASANT LN, WATERLOO, IA 50701-5200
(319) 233-6995
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03594
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38866
WELLMARK
IA
Enumeration date
01/27/2006
Last updated
07/08/2007
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