Individual
CHANEL NICOLE VANDERHORST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
8865 STANFORD BLVD, SUITE 114, COLUMBIA, MD 21045-5420
(410) 290-4480
Mailing address
PO BOX 356, BURTONSVILLE, MD 20866-0356
(301) 421-1125
(301) 500-2175
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
23464
MD
Other
Enumeration date
02/04/2009
Last updated
12/04/2018
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