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Individual

GARY D VANDE KAMP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
635 E LINCOLNWAY, MORRISON, IL 61270-2963
(815) 772-7274
(815) 772-4590
Mailing address
850 43RD AVE, SUITE 100, MOLINE, IL 61265-8401
(309) 743-2070
(309) 743-2073

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
00183
IA
225100000X
Physical Therapist
Primary
070001377
IL

Other

Enumeration date
09/26/2005
Last updated
04/12/2012
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