Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. CANDICE LEA VAN IDERSTINE, P.T.
ActiveMS. CANDICE LEA VAN IDERSTINE, P.T. is a Physical Therapy Assistant healthcare provider located in BOWIE, Maryland. NPI 1174627798 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · BOWIE, MD
Registration Details
- NPI Number
- 1174627798
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 12, 2006 (19.877441497314 yrs)
- Last Updated
- Jul 8, 2007
- License
-
14653 (MD)
Practice Information
- Address
-
15003 HEALTH CENTER DRBOWIE, MD, 207161017Browse MD providers · Browse ZIP 20716
- Phone
- 3018092090
- Fax
- 3018092034
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in BOWIE, MD
| Name | Credential | NPI |
|---|---|---|
| MRS. CHRISTIE MARIE STACK-SIDES | M.S.PT | 1073512257 |
| KAREN DIANE POSTL | DPT | 1184601551 |
| MRS. JENNIFER GORDON | PT | 1487615027 |
| KALA FLAGG | MPT, ATC, CSCS | 1255440483 |
| BRIDGET RAY | P.T. | 1134239627 |
| MRS. DEBORAH ANNLYN SOLOMON-IRVING | — | 1558469023 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.