Individual
ANGIE MARIE DYKSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5936 N KEYSTONE AVE, SUITE 101, INDIANAPOLIS, IN 46220-2458
(317) 257-8340
(317) 257-8361
Mailing address
1531 WATERFORD DR, ZIONSVILLE, IN 46077-3818
(317) 873-6697
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05007765A
IN
Other
Enumeration date
04/24/2008
Last updated
04/24/2008
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