Individual
IRIS VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
221 W DAY RD, MISHAWAKA, IN 46545-1401
(547) 256-9420
(574) 256-9465
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05012029A
IN
Other
Enumeration date
03/25/2016
Last updated
03/25/2016
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