Individual
MRS. KRISTEN LANE VANDERWIJST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4701 SPOTSYLVANIA PKWY STE 106, FREDERICKSBURG, VA 22407-9435
(540) 710-0100
(540) 710-5333
Mailing address
11717 HARRIS MILL CT, FREDERICKSBURG, VA 22408-1890
(757) 374-9839
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305207113
VA
Other
Enumeration date
04/09/2018
Last updated
04/09/2018
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