Individual
CHRISTINA VANDERGAAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8819 W VICTORIA AVE # 110, KENNEWICK, WA 99336-7193
(509) 783-1851
Mailing address
5105 S OLYMPIA ST, KENNEWICK, WA 99337-4609
(509) 572-7940
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
60104495
WA
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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