Individual
MARIKA ELAINE ZANDSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1101 GLENDALE BLVD, SUITE 11, VALPARAISO, IN 46383-3767
(219) 476-0377
Mailing address
5670 CHASE ST, MERRILLVILLE, IN 46410-1041
(219) 384-8692
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05007074A
IN
225100000X
Physical Therapist
070012289
IL
Other
Enumeration date
02/06/2012
Last updated
05/14/2015
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