Individual
DR. LEVI JOHN VANTOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
2500 NE 65TH AVE, VANCOUVER, WA 98661-6812
(360) 750-7500
Mailing address
37307 NE 94TH AVE, LA CENTER, WA 98629-4216
(360) 690-6024
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60934354
WA
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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