Individual
APRIL DAWN VONDERAHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 S LOWER SACRAMENTO RD, LODI, CA 95242-3635
(209) 333-3131
Mailing address
362 COPPER CREST DR, COPPEROPOLIS, CA 95228-9686
(765) 461-0602
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
48603
CA
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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