Floris G.h. Vandeven PT, DPT, MHA

NPI 1063625804 - Physical Therapist - 225100000X

NPI Details
NPI 1063625804
Gender Male
Enumeration Date 05/08/2007
Last Updated 04/10/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
726 4TH ST
MARYSVILLE CA, 95901-5656, US
Phone (530) 458-8135
Fax
Business Location
720 JAY ST
COLUSA CA, 95932-2321, US
Phone (530) 458-8135
Fax
Toxanomy
Taxonomy Code 225100000X
License State California
License Number PT 11797
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According to our database, Dr. Floris G.h. Vandeven PT, DPT, MHA NPI is 1063625804, taxonomy code is 225100000X and license number is PT 11797, license state is located at California. Floris G.h. Vandeven PT, DPT, MHA physically located at 726 4th St, Marysville CA, 95901-5656. NPI Number Floris G.h. Vandeven PT, DPT, MHA has the Individual type.

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1063625804 NPI number is provided on an as is basis without warranty of any kind. 1063625804 is maintained by the National Plan & Provider Enumeration System. The contents of Floris G.h. Vandeven PT, DPT, MHA are for informational purposes only.