MR. Bryan Vandehey

NPI #1669768412 in Waupaca, Wisconsin

Provider Information

NPI Number: 1669768412
Entity Type: Individual
Name: MR. Bryan Vandehey
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Jun 21, 2011
Last Updated: Jun 21, 2011

Practice Location

Address: 1226 BERLIN ST
City: Waupaca
State: Wisconsin
ZIP Code: 54981-1991
Phone: (715) 258-5521

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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