Individual
TESSA DOERKSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 W RAILROAD ST, STORM LAKE, IA 50588-2449
(712) 213-8184
Mailing address
200 W RAILROAD ST, STORM LAKE, IA 50588-2449
(712) 213-8184
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
073956
IA
Other
Enumeration date
11/03/2014
Last updated
11/03/2014
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