Individual
MR. CHRISTIAN VANDERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
606 N FIFTH AVE, SANDPOINT, ID 83864-1520
(208) 284-3597
(208) 718-6341
Mailing address
PO BOX 2490, SANDPOINT, ID 83864-0915
(208) 284-3597
(208) 718-6341
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-2378
ID
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT-2378
LICENSE
ID
Enumeration date
07/11/2008
Last updated
07/10/2023
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