Individual
ANDRE VAN COMMENEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
39 CONGRESS ST, SUITE 303, PASADENA, CA 91105-3024
(626) 795-0800
Mailing address
17930 WELBY WAY, RESEDA, CA 91335-5646
(818) 342-9446
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 16619
CA
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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