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Individual

MS. KRISTINE VAN DIJCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
601 DR MARTIN LUTHER KING JR AVE NE, ALBUQUERQUE, NM 87102-3619
(314) 856-3752
Mailing address
7320 FORSYTH BLVD, APT 103, SAINT LOUIS, MO 63105-2167
(314) 856-3752

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3511
NM

Other

Enumeration date
12/30/2008
Last updated
12/30/2008
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