Individual
SCOTT VERMEULEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.O.
Contact information
Practice address
635 ANDERSON RD, SUITE 18, DAVIS, CA 95616-3505
(530) 204-5123
Mailing address
635 ANDERSON RD, SUITE 18, DAVIS, CA 95616-3505
(530) 204-5123
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
224P00000X
Prosthetist
—
—
Other
Enumeration date
01/12/2016
Last updated
01/21/2016
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