Individual
NATALIE ANN VANDORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6277 CENTER GROVE RD, EDWARDSVILLE, IL 62025-3309
(618) 659-0605
Mailing address
1351 LIVINGSTON ST, CARLYLE, IL 62231-1337
(618) 980-8587
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.013891
IL
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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