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Individual

MS. EMILIE VAN KOOTEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
450 LAUREL ST STE A, DES MOINES, IA 50314-3045
(515) 247-8400
(515) 248-8888
Mailing address
450 LAUREL ST STE A, DES MOINES, IA 50314-3045
(515) 247-8400
(515) 248-8888

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
096633
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1346802279
IA
Enumeration date
07/01/2019
Last updated
11/12/2025
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