Stephanie Vandevelde, PTA

NPI #1306103726 in Green Bay, Wisconsin

Provider Information

NPI Number
1306103726
Entity Type
Individual
Name
Stephanie Vandevelde, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Apr 23, 2012
Last Updated
Apr 23, 2012

Practice Location

Address
2845 GREENBRIER RD
ZIP Code
54311-6519
Phone
(920) 288-8000

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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