Alex Jason Vander Vorste, MS, ATC

NPI #1104431451 in Malibu, California

Provider Information

NPI Number
1104431451
Entity Type
Individual
Name
Alex Jason Vander Vorste, MS, ATC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
MS, ATC
Enumeration Date
Sep 14, 2020
Last Updated
Sep 14, 2020

Practice Location

Address
24255 PACIFIC COAST HWY
Address 2
PEPPERDINE ATHLETICS - SPORTS MEDICINE
City
Malibu
ZIP Code
90263
Phone
(310) 506-4169

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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