Individual
ASHLEY NICOLE VANDENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.,D.P.T.
Contact information
Practice address
901 W MAIN ST, SUITE 1, LOWELL, MI 49331-1581
(616) 897-7055
(616) 897-7366
Mailing address
1377 MOTOR PKWY, STE 307, ISLANDIA, NY 11749-5258
(631) 580-5200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501016890
MI
Other
Enumeration date
09/11/2014
Last updated
08/23/2019
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