Individual
DIANNA VANDERPOOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
159 KERCHEVAL AVE, GROSSE POINTE FARMS, MI 48236-3610
(313) 640-2200
Mailing address
159 KERCHEVAL AVE, GROSSE POINTE FARMS, MI 48236-3610
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501014417
MI
Other
Enumeration date
05/02/2018
Last updated
03/26/2021
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