Jason R Vandeventer, MPT
NPI #1205831070 in Bloomington, Indiana
Provider Information
- NPI Number
- 1205831070
- Entity Type
- Individual
- Name
- Jason R Vandeventer, MPT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- MPT
- Enumeration Date
- Jun 16, 2005
- Last Updated
- Sep 26, 2008
Practice Location
- Address
- 719 S ROGERS ST
- City
- Bloomington
- State
- Indiana
- ZIP Code
- 47403-2335
- Phone
- (812) 323-4475
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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