Individual
ALEX VANDEUSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1606 N 7TH ST, TERRE HAUTE, IN 47804-2706
(812) 238-7000
Mailing address
4300 OLD PARIS RD, APT. P, WEST TERRE HAUTE, IN 47885-9025
(607) 435-8959
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002010A
IN
Other
Enumeration date
03/10/2014
Last updated
02/14/2017
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