Individual
MR. SCOTT DANIEL VANDERLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
8448 SIEGEN LN, BATON ROUGE, LA 70810-1938
(225) 767-8182
(225) 767-8757
Mailing address
8448 SIEGEN LN, BATON ROUGE, LA 70810-1938
(225) 767-8182
(225) 767-8757
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
07718
LA
Other
Enumeration date
05/02/2011
Last updated
05/02/2011
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