Individual
MARK L VANDERSNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
3545 S NATIONAL AVE, SPRINGFIELD, MO 65807-7310
(417) 269-5124
(417) 269-5508
Mailing address
3545 S NATIONAL AVE, SPRINGFIELD, MO 65807-7310
(417) 269-5124
(417) 269-5508
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
04/29/2020
Last updated
04/29/2020
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