CHRISTA J VANDERVORT

GREEN RIVER, WY
NPI1215102132
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: WY  sp080)
Enumeration Date2008-04-23
Last Update Date2008-04-23
Business Address
-- CHRISTA J VANDERVORT SP
1400 UINTA DR
GREEN RIVER, WY 82935-5060
Phone number: 307-872-4500
Mailing Address
-- CHRISTA J VANDERVORT SP
1400 UINTA DR
GREEN RIVER, WY 82935-5060
Phone number: 307-872-4500