Individual
PATRICK J VANDYKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1301 RAVINE ST, MUNHALL, PA 15120-2144
(412) 491-8004
Mailing address
1301 RAVINE ST, MUNHALL, PA 15120-2144
(412) 491-8004
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG010652
PA
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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