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1760620306
CHANEL NICOLE VANDERHORST
COLUMBIA, MD
NPI
1760620306
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MD 23464)
Enumeration Date
2009-02-04
Last Update Date
2018-12-04
Business Address
CHANEL NICOLE VANDERHORST PT
8865 STANFORD BLVD SUITE 114
COLUMBIA, MD 21045-5420
Phone number: 410-290-4480
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Mailing Address
CHANEL NICOLE VANDERHORST PT
PO BOX 356
BURTONSVILLE, MD 20866-0356
Phone number: 301-421-1125
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