Individual
BERT VANDUZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2196 GRACE AVE, MCKINLEYVILLE, CA 95519-3705
(707) 839-0672
Mailing address
2196 GRACE AVE, MCKINLEYVILLE, CA 95519-3705
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2686
CA
Other
Enumeration date
01/12/2015
Last updated
01/12/2015
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