Individual
VANDA DANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
15587 MANCHESTER RD, BALLWIN, MO 63011-3001
(636) 256-0300
(636) 256-0931
Mailing address
15587 MANCHESTER RD, BALLWIN, MO 63011-3001
(636) 256-0300
(636) 256-0931
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2008034899
MO
Other
Enumeration date
10/06/2008
Last updated
05/04/2012
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