Individual
SONYA D ANSELMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2435 KIMBERLY ROAD, STE 100S, BETTENDORF, IA 52722
(563) 359-5600
Mailing address
104 BRIARWOOD STREET, COLONA, IL 61241
(309) 737-9107
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
006103
IA
Other
Enumeration date
05/17/2011
Last updated
05/17/2011
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