JOANNE KAREN ICKSTADT

GRAND RAPIDS, MI
NPI1649476789
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WA  PT00010467)
Enumeration Date2007-06-25
Last Update Date2007-07-08
Business Address
-- JOANNE KAREN ICKSTADT P.T.
2900 CHARLEVOIX DR SE SUITE #200
GRAND RAPIDS, MI 49546-7085
Phone number: 800-634-1077
Mailing Address
-- JOANNE KAREN ICKSTADT P.T.
860 3 CRABS RD
SEQUIM, WA 98382-7852
Phone number: 719-510-6420
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