Individual
HILARY VANDERVELDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
8626 WICKER AVE STE C, SAINT JOHN, IN 46373-9053
(219) 440-7930
(219) 440-7931
Mailing address
540 MEADOW RDG, SCHERERVILLE, IN 46375-2985
(219) 629-6947
(219) 440-7931
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32003659A
IN
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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