Individual
PAMELA J VANDEVANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
501 OAK AVE, WAYNESBORO, VA 22980-4400
(540) 941-3100
Mailing address
PO BOX 1000, FISHERSVILLE, VA 22939-1000
(540) 932-5159
(540) 932-4616
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119000091
VA
Other
Enumeration date
02/11/2010
Last updated
02/11/2010
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