Individual
MANDY RIANNA VANDER POL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
55 MECHANICSVILLE RD, DAHLONEGA, GA 30533-0835
(770) 540-2637
Mailing address
PO BOX 1224, DAHLONEGA, GA 30533-0021
(770) 540-2637
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT008777
GA
Other
Enumeration date
10/01/2024
Last updated
10/01/2024
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