STEPHANIE VANDERVOORT

SAN DIEGO, CA
NPI1053017012
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CA  52363)
Enumeration Date2023-02-01
Last Update Date2023-02-01
Business Address
STEPHANIE VANDERVOORT
3837 WABASH AVE
SAN DIEGO, CA 92104-3134
Phone number: 928-287-8857
Mailing Address
STEPHANIE VANDERVOORT
3837 WABASH AVE
SAN DIEGO, CA 92104-3134
Phone number: