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1134232101
TIMOTHY VANDER WILT
ANKENY, IA
NPI
1134232101
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IA 03434)
Enumeration Date
2006-08-16
Last Update Date
2009-04-13
Business Address
-- TIMOTHY VANDER WILT MSPT
800 E 1ST ST SUITE W270
ANKENY, IA 50021-2077
Phone number: 515-643-7555
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Mailing Address
-- TIMOTHY VANDER WILT MSPT
PO BOX 1475
DES MOINES, IA 50305-1475
Phone number: 515-643-7555
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