Individual
CODY VANDER BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
8862 BENDER RD STE 101, LYNDEN, WA 98264-8800
(360) 354-1115
Mailing address
7600 MELODY LN, FERNDALE, WA 98248-7720
(712) 578-9549
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/12/2018
Last updated
07/12/2018
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