Individual
TROY VANDER MOLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
308 SE 9TH ST, PELLA, IA 50219-2296
(641) 621-0230
(641) 621-0319
Mailing address
604 LIBERTY ST, STE 227, PELLA, IA 50219-1776
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02532
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0423814
—
IA
01
—
44598
WELLMARK
IA
Enumeration date
11/06/2006
Last updated
10/18/2016
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