Individual
SCOTT VANDYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 N. 7TH ST, BISMARCK, ND 58501
(701) 323-6153
Mailing address
300 N 7TH ST, BISMARCK, ND 58501-4439
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
1509
ND
Other
Enumeration date
07/12/2017
Last updated
07/12/2017
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