Lynette Vanausdale, PTA
NPI #1427297688 in Fairview Heights, Illinois
Provider Information
- NPI Number
- 1427297688
- Entity Type
- Individual
- Name
- Lynette Vanausdale, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Feb 11, 2009
- Last Updated
- Feb 11, 2009
Practice Location
- Address
- 141 MARKET PL
- Address 2
- SUITE 203
- City
- Fairview Heights
- State
- Illinois
- ZIP Code
- 62208-2034
- Phone
- (618) 398-4118
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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