MRS. Myrna Rae Van De Walle, PHYSICAL THERAPIST
NPI #1083760755 in Clear Lake, Iowa
Provider Information
- NPI Number
- 1083760755
- Entity Type
- Individual
- Name
- MRS. Myrna Rae Van De Walle, PHYSICAL THERAPIST
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapist
- Credential
- PHYSICAL THERAPIST
- Enumeration Date
- Jan 26, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 9184 265TH ST
- Address 2
- SUITE B
- City
- Clear Lake
- State
- Iowa
- ZIP Code
- 50428-8507
- Phone
- (641) 357-6112
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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