Individual
KRISTI ANN DERYCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3245 WILLIAMS PKWY SW, CEDAR RAPIDS, IA 52404-1446
(319) 369-8820
(319) 368-5866
Mailing address
7834 11TH AVENUE TRL, BELLE PLAINE, IA 52208-8830
(319) 573-5268
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
01018
IA
Other
Enumeration date
04/02/2024
Last updated
04/02/2024
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