Phyllis Vandervort, PT

NPI #1902202740 in Snoqualmie, Washington

Provider Information

NPI Number: 1902202740
Entity Type: Individual
Name: Phyllis Vandervort, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Nov 5, 2014
Last Updated: Nov 5, 2014

Practice Location

Address: 7726 CENTER BLVD SE
Address 2: SUITE 220
City: Snoqualmie
State: Washington
ZIP Code: 98065-8748
Phone: (425) 396-7778

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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