Individual
MRS. ANDREA VANDERVELDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
2900 GOLF RD, PEWAUKEE, WI 53072-5449
(262) 928-7220
Mailing address
2900 GOLF RD, PEWAUKEE, WI 53072-5449
(262) 928-7220
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
6049-24
WI
Other
Enumeration date
01/25/2024
Last updated
01/26/2024
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