Individual
MRS. MARY KATHRYN VANDER WOUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
114 TRUNK DR, STEPHENS CITY, VA 22655-2911
(540) 686-1387
Mailing address
114 TRUNK DR, STEPHENS CITY, VA 22655-2911
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305206240
VA
Other
Enumeration date
03/08/2010
Last updated
08/31/2016
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