SearchMaryland225100000X

Candice Van Iderstine, P.T

NPI 1174627798 · on the registry since 2006

Practice

Address
15003 Health Center Dr
Bowie, MD 20716
Phone
(301) 809-2090
Fax
(301) 809-2034
Organisation at this address
Dimensions Health Corporation
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland