Individual
MR. RICHARD PETER VANDENDOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
6701 COUNTRY CLUB DR, GOLDEN VALLEY, MN 55427-4602
(952) 993-5495
(952) 993-2250
Mailing address
6701 COUNTRY CLUB DR, GOLDEN VALLEY, MN 55427-4602
(952) 993-5495
(952) 993-2250
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
101359
MN
Other
Enumeration date
08/12/2012
Last updated
08/12/2012
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