CANDICE LEA VAN IDERSTINE

BOWIE, MD
NPI1174627798
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MD  14653)
Enumeration Date2006-09-12
Last Update Date2007-07-08
Business Address
Ms. CANDICE LEA VAN IDERSTINE P.T.
15003 HEALTH CENTER DR
BOWIE, MD 20716-1017
Phone number: 301-809-2090
Mailing Address
Ms. CANDICE LEA VAN IDERSTINE P.T.
3536 JAMESTOWN RD
DAVIDSONVILLE, MD 21035-2011
Phone number: 410-798-4878
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