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1174627798
CANDICE LEA VAN IDERSTINE
BOWIE, MD
NPI
1174627798
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MD 14653)
Enumeration Date
2006-09-12
Last Update Date
2007-07-08
Business Address
MS. CANDICE LEA VAN IDERSTINE P.T.
15003 HEALTH CENTER DR
BOWIE, MD 20716-1017
Phone number: 301-809-2090
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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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