Joel Andrew Vander Wall MSPT

NPI 1386849875 - Physical Therapist - 225100000X

NPI Details
NPI 1386849875
Gender Male
Enumeration Date 06/15/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3863 LAKE MICHIGAN DR NW
GRAND RAPIDS MI, 49534, US
Phone (616) 735-4545
Fax (616) 735-6344
Business Location
1465 64TH ST SW
BYRON CENTER MI, 49315, US
Phone (616) 257-3014
Fax (616) 735-6344
Toxanomy
Taxonomy Code 225100000X
License State
License Number 5501010049
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According to our database, Mr. Joel Andrew Vander Wall MSPT NPI is 1386849875, taxonomy code is 225100000X and license number is 5501010049, license state is located at . Joel Andrew Vander Wall MSPT physically located at 3863 Lake Michigan Dr Nw, Grand Rapids MI, 49534. NPI Number Joel Andrew Vander Wall MSPT has the Individual type.

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1386849875 NPI number is provided on an as is basis without warranty of any kind. 1386849875 is maintained by the National Plan & Provider Enumeration System. The contents of Joel Andrew Vander Wall MSPT are for informational purposes only.