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1962561969
JEANNINE MARIE KNICKERBOCKER
WATERLOO, IA
NPI
1962561969
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IA 03966)
Enumeration Date
2006-12-06
Last Update Date
2007-12-07
Business Address
JEANNINE MARIE KNICKERBOCKER DPT
1731 W RIDGEWAY AVE
WATERLOO, IA 50701-4594
Phone number: 319-833-5900
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Mailing Address
JEANNINE MARIE KNICKERBOCKER DPT
PO BOX 2758
WATERLOO, IA 50704-2758
Phone number: 319-235-5390
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