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Individual

TROY JUSTIN VANDEEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
730 45TH ST, MUNSTER, IN 46321-2818
(219) 924-3300
Mailing address
14180 W 94TH AVE, SAINT JOHN, IN 46373-8915

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
99124987A
IN

Other

Enumeration date
05/29/2024
Last updated
05/29/2024
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