Individual
CARMEN VANDYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3040 WATERCHASE WAY SW, APT 302, WYOMING, MI 49519-5990
(616) 644-3061
Mailing address
3040 WATERCHASE WAY SW, APT 302, WYOMING, MI 49519-5990
(616) 644-3061
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070.020738
IL
225100000X
Physical Therapist
Primary
5501016738
MI
Other
Enumeration date
09/11/2014
Last updated
03/30/2015
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