Individual
MR. STEVEN CHARLES VANDORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
1101 WOODLAND DR, ELIZABETHTOWN, KY 42701-2749
(270) 765-6106
(270) 769-0559
Mailing address
1101 WOODLAND DR, ELIZABETHTOWN, KY 42701-2749
(270) 765-6106
(270) 769-0559
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A1904
KY
Other
Enumeration date
07/11/2007
Last updated
07/11/2007
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