Individual
WADE VANDOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
500 CROSS ST, BIG STONE CITY, SD 57216-8237
(605) 541-1115
(605) 541-0109
Mailing address
820 ROY ST, ORTONVILLE, MN 56278-1138
(320) 830-4271
(320) 839-4196
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
0383
SD
225100000X
Physical Therapist
Primary
4675
MN
Other
Enumeration date
06/26/2006
Last updated
04/28/2022
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