Individual
LAURA VANDUSSELDORP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
5406 MERLE HAY RD, JOHNSTON, IA 50131-1209
(515) 727-8750
Mailing address
5406 MERLE HAY RD, JOHNSTON, IA 50131-1209
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4099
IA
Other
Enumeration date
02/07/2008
Last updated
08/23/2010
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