Individual
MRS. JOELLEN DYKSTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
141 DAKOTA AVE. N., NEW HOLLAND, SD 57364-0009
(605) 243-2232
Mailing address
PO BOX 9, NEW HOLLAND, SD 57364-0009
(605) 243-2232
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0020
SD
Other
Enumeration date
03/30/2010
Last updated
03/30/2010
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