Stephanie Van Iderstine
NPI #1710420104 in East Longmeadow, Massachusetts
Provider Information
- NPI Number
- 1710420104
- Entity Type
- Individual
- Name
- Stephanie Van Iderstine
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- Dec 2, 2016
- Last Updated
- Dec 2, 2016
Practice Location
- Address
- 305 MAPLE ST
- City
- East Longmeadow
- State
- Massachusetts
- ZIP Code
- 01028-2765
- Phone
- (413) 525-6361
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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