Shannon Elizabeth Vandevelde, P.T.

NPI #1649216011 in Sierra Madre, California

Provider Information

NPI Number: 1649216011
Entity Type: Individual
Name: Shannon Elizabeth Vandevelde, P.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: Jun 22, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 205 N HERMOSA AVE
City: Sierra Madre
State: California
ZIP Code: 91024-1731
Phone: (626) 840-6384

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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Organizations

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