Provider Demographics
NPI:1720602204
Name:STENDER, ANGELA (PT, DPT)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:STENDER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1290 ADAMS ST SE
Mailing Address - Street 2:
Mailing Address - City:BONDURANT
Mailing Address - State:IA
Mailing Address - Zip Code:50035-2127
Mailing Address - Country:US
Mailing Address - Phone:563-210-2612
Mailing Address - Fax:
Practice Address - Street 1:4610 DOUGLAS AVE APT 239
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50310-2764
Practice Address - Country:US
Practice Address - Phone:515-276-4184
Practice Address - Fax:515-276-4184
Is Sole Proprietor?:No
Enumeration Date:2020-06-01
Last Update Date:2020-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA004714225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist