Individual
NATHAN VANDERWOUDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
23 CEDAR RIDGE DR, SKOWHEGAN, ME 04976-4160
(207) 474-9686
Mailing address
655 S WILLOW ST, MANCHESTER, NH 03103-5714
(800) 995-2673
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
007781
KY
225100000X
Physical Therapist
043826
NY
225100000X
Physical Therapist
Primary
PT5558
ME
Other
Enumeration date
03/08/2020
Last updated
03/08/2020
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