Individual
DANA ELAINE VISSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
807 MAIN STREE SUITE C, HULL, IA 51239-7204
(712) 439-2266
Mailing address
1101 9TH ST SE, SIOUX CENTER, IA 51250-2501
(712) 722-8125
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
090450
IA
Other
Enumeration date
11/26/2018
Last updated
11/26/2018
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