Individual
NICOLE LYNN VANDERHOOF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
400 NORTH LAKE HOWARD DRIVE, WINTER HAVEN, FL 33881
(863) 268-2608
Mailing address
3915 LAKE NED VILLAGE CIR, WINTER HAVEN, FL 33884-2586
(727) 809-1653
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA30690
FL
Other
Enumeration date
04/28/2021
Last updated
04/28/2021
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