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Individual

ERIC VANDONGEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
2004 HAYES ST STE 110, NASHVILLE, TN 37203-2648
(615) 815-3777
Mailing address
210 STOCKYARD ST APT 201, NASHVILLE, TN 37201-1136
(908) 304-8043

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12679
TN
225100000X
Physical Therapist
40QA01685000
NJ

Other

Enumeration date
04/07/2020
Last updated
04/07/2020
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