Individual
LOLA MARIE VANDREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4610 25TH ST, COLUMBUS, IN 47203-3239
(812) 314-2378
Mailing address
4610 25TH ST, COLUMBUS, IN 47203-3239
(812) 314-2378
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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