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1528525805
LISA MARIE VANWIEL
CORALVILLE, IA
NPI
1528525805
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IA 094540)
Enumeration Date
2019-02-22
Last Update Date
2019-02-22
Business Address
LISA MARIE VANWIEL PT, DPT
2350 OAKDALE BLVD
CORALVILLE, IA 52241-9702
Phone number: 515-491-7865
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Mailing Address
LISA MARIE VANWIEL PT, DPT
1506 JERSEY RIDGE RD
DAVENPORT, IA 52803-3737
Phone number: 515-491-7865
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