Philip Vande Pol, PT, DPT

NPI #1639155237 in Bothell, Washington

Provider Information

NPI Number: 1639155237
Entity Type: Individual
Name: Philip Vande Pol, PT, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, DPT
Enumeration Date: Dec 16, 2005
Last Updated: Nov 3, 2010

Practice Location

Address: 19017 120TH AVE NE BLDG 1
Address 2: SUITE 111
City: Bothell
State: Washington
ZIP Code: 98011-9510
Phone: (425) 489-3420

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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