Individual
MISS CHANDREE LEIGH VAN VRANKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
820 COTTAGE ST NE, SALEM, OR 97301-2426
(518) 859-6344
Mailing address
33 SWEETMILK CREEK RD, TROY, NY 12180-9100
(518) 859-6344
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
039874-1
NY
208100000X
Physical Medicine & Rehabilitation Physician
Primary
61547
OR
208100000X
Physical Medicine & Rehabilitation Physician
PT-4048
ID
Other
Enumeration date
02/23/2016
Last updated
02/23/2016
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