Individual
MRS. ANNE MARIE DYKSTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1021 LONGWELL PL, INDIANAPOLIS, IN 46240-3900
(317) 340-7184
Mailing address
1021 LONGWELL PL, INDIANAPOLIS, IN 46240-3900
(317) 340-7184
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05010003A
IN
Other
Enumeration date
04/06/2010
Last updated
04/06/2010
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