Kristopher Jay Vanderwall, DPT

NPI #1275797185 in Seville, Ohio

Provider Information

NPI Number: 1275797185
Entity Type: Individual
Name: Kristopher Jay Vanderwall, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Jul 10, 2008
Last Updated: Dec 17, 2013

Practice Location

Address: 265 CENTER ST
City: Seville
State: Ohio
ZIP Code: 44273-8864
Phone: (330) 769-4677

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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