Individual
ELYSE VANDERKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 W MAIN ST, FREMONT, MI 49412-1486
(231) 924-3185
Mailing address
8699 FLAT CREEK DR UNIT I, ROCKFORD, MI 49341-8944
(616) 438-2371
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
5501019222
MI
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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