Individual
PAUL VANDERSTARRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1375 STEADERS PASS, ZEELAND, MI 49464-1451
(616) 450-9521
Mailing address
1375 STEADERS PASS, ZEELAND, MI 49464-1451
(616) 450-9521
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502003195
MI
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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