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Individual

DAVID J VANDERHOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
308 SE 9TH ST, PELLA, IA 50219-2296
(641) 621-0230
(641) 621-0319
Mailing address
315 WASHINGTON ST, PELLA, IA 50219-1532

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03290
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0486241
IA
01
37169
WELLMARK
IA
Enumeration date
10/17/2006
Last updated
07/08/2007
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