Individual
MYNDI MARIE VANVOORST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OCCUPT. THERAPIST
Contact information
Practice address
2525 WASHINGTON ST, PELLA, IA 50219-1553
(641) 621-1401
(641) 628-7308
Mailing address
2525 WASHINGTON ST, PELLA, IA 50219-1553
(641) 621-1401
(641) 628-7308
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
01218
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01218
IOWA LICENSE
IA
Enumeration date
04/28/2006
Last updated
01/29/2009
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