Individual
JULIE LYNNE VANDERHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.P.T.
Contact information
Practice address
1490 E BELTLINE AVE SE, GRAND RAPIDS, MI 49506-4336
(616) 474-2151
Mailing address
4339 APPLEWOOD CT SW, WYOMING, MI 49418-8781
(616) 261-4323
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501010502
MI
Other
Enumeration date
06/10/2009
Last updated
06/10/2009
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