| Ms Candice Lea Van Iderstine, PT | |
|
15003 Health Center Dr, Bowie, MD 20716-1017 | |
| (301) 809-2090 | |
| (301) 809-2034 |
| Full Name | Ms Candice Lea Van Iderstine |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 15003 Health Center Dr, Bowie, Maryland |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174627798 | NPI | - | NPPES |
| 7082461 | Other | MD | AETNA HMO PROVIDER NUMBER |
| KFK1 | Other | MD | BC/BS OF MARYLAND GROUP 6 |
| 2142926 | Other | MD | MAMSI PROVIDER NUMBER |
| 3346568 | Other | MD | AETNA HMO PROVIDER # |
| 0001 | Other | DC | BC/BS OF DC GROUPG719 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 14653 (Maryland) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Candice Lea Van Iderstine, PT 3536 Jamestown Rd, Davidsonville, MD 21035-2011 Ph: (410) 798-4878 | Ms Candice Lea Van Iderstine, PT 15003 Health Center Dr, Bowie, MD 20716-1017 Ph: (301) 809-2090 |
Dante Lemar Gorham, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4000 Mitchellville Rd, Ste A400, Bowie, MD 20716 Phone: 301-805-7110 | |
Possibilities Physical Therapy And Wellness Physical Therapist Medicare: Medicare Enrolled Practice Location: 3622 Majestic Ln, Bowie, MD 20715 Phone: 301-502-4938 | |
Michael White, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1525 Pointer Ridge Pl, #304, Bowie, MD 20716 Phone: 301-466-6283 | |
Keith Y Fleischmann, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4367 Northview Dr, Bowie, MD 20716 Phone: 301-464-4500 Fax: 301-464-8818 | |
Mary Kathleen Sorenson, PT/CHT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14300 Gallant Fox Ln Ste 114, Bowie, MD 20715 Phone: 410-263-6638 Fax: 410-268-6830 | |
Richmond Sarpong, Physical Therapist Medicare: Medicare Enrolled Practice Location: 4000 Mitchellville Rd Ste B222, Bowie, MD 20716 Phone: 301-464-3775 Fax: 301-358-3211 | |
Meghan Spring Mahar, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 100 White Marsh Park Dr, Bowie, MD 20715 Phone: 301-262-5852 Fax: 301-262-3173 |