Individual
KAREN LESLIE VANDE VEGTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
4510 VIEWRIDGE AVE, SAN DIEGO, CA 92123-1637
(858) 694-4949
Mailing address
2509 ARNOTT ST, SAN DIEGO, CA 92110-1152
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
14057
CA
Other
Enumeration date
06/19/2007
Last updated
12/02/2021
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