Mildred Margaret Vandergon, PT

NPI #1144564949 in Eagle River, Alaska

Provider Information

NPI Number: 1144564949
Entity Type: Individual
Name: Mildred Margaret Vandergon, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Nov 16, 2012
Last Updated: Nov 16, 2012

Practice Location

Address: 12103 HORSESHOE DR
Address 2: SUITE B
City: Eagle River
State: Alaska
ZIP Code: 99577-7547
Phone: (907) 696-3657

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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