Wade Vandover, P.T.

NPI #1174550446 in Big Stone City, South Dakota

Provider Information

NPI Number: 1174550446
Entity Type: Individual
Name: Wade Vandover, P.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: Jun 26, 2006
Last Updated: Apr 28, 2022

Practice Location

Address: 500 CROSS ST
City: Big Stone City
State: South Dakota
ZIP Code: 57216-8237
Phone: (605) 541-1115

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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