RUSSELL ALLEN VANDE VEGTE

SAN DIEGO, CA
NPI1487850558
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2251X0800X Physical Therapist, Orthopedic
(Licence: CA  14066)
Enumeration Date2007-06-25
Last Update Date2021-11-19
Business Address
Mr. RUSSELL ALLEN VANDE VEGTE PT
4510 VIEWRIDGE AVE
SAN DIEGO, CA 92123-1637
Phone number: 858-694-4922
Mailing Address
Mr. RUSSELL ALLEN VANDE VEGTE PT
2509 ARNOTT ST
SAN DIEGO, CA 92110-1152
Phone number: 619-276-7980
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