Candice Lea Van Iderstine is a Physical Therapist based in Davidsonville, MD. Candice Lea Van Iderstine practices in Bowie, MD and has the professional credentials of PT. The NPI Number for Candice Lea Van Iderstine is 1174627798 and holds a License No. 14653 (Maryland).
The current practice location address for Candice Lea Van Iderstine is 15003 Health Center Dr, Bowie, MD and can be reached out via phone at 301-809-2090 and via fax at 301-809-2034.
Identifier | Type | State | Issuer |
---|---|---|---|
7082461 | 01 | MD | AETNA HMO PROVIDER NUMBER |
KFK1 | 01 | MD | BC/BS OF MARYLAND GROUP 6 |
2142926 | 01 | MD | MAMSI PROVIDER NUMBER |
3346568 | 01 | MD | AETNA HMO PROVIDER # |
0001 | 01 | DC | BC/BS OF DC GROUPG719 |
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