Individual
MATTHEW JOHN VANDENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
325 E FLORIDA AVE, APPLETON, WI 54911-1325
(920) 731-7310
Mailing address
325 E FLORIDA AVE, APPLETON, WI 54911-1325
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1676524
WI
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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