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Individual

JILL BUESCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
1555 SE DELAWARE AVE, SUITE M, ANKENY, IA 50021-4011
(515) 963-8723
(515) 963-8755
Mailing address
1555 SE DELAWARE AVE, SUITE M, ANKENY, IA 50021-4011
(515) 963-8723
(515) 963-8755

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3775
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0665430
IA
Enumeration date
10/11/2006
Last updated
01/07/2010
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