MR. Brian Eugene Vandiver, PT

NPI #1194805689 in Commerce, Georgia

Provider Information

NPI Number: 1194805689
Entity Type: Individual
Name: MR. Brian Eugene Vandiver, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Oct 17, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 40095 US HIGHWAY 441
Address 2: ELITE PHYSICAL THERAPY
City: Commerce
State: Georgia
ZIP Code: 30529
Phone: (706) 335-3816

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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