Individual
KRISTINA ANN STURDEVANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11144 AURORA AVE, URBANDALE, IA 50322-7903
(515) 278-6868
Mailing address
11144 AURORA AVE, URBANDALE, IA 50322-7903
(515) 278-6868
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
096733
IA
Other
Enumeration date
12/30/2019
Last updated
12/30/2019
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