Individual
DOUG JANSMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
516 13TH ST, WELLMAN, IA 52356-9232
(319) 646-2911
Mailing address
516 13TH ST, WELLMAN, IA 52356-9232
(319) 646-2911
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
004832
IA
Other
Enumeration date
05/22/2017
Last updated
05/22/2017
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