DIANE VANGORDER, P.T.A
Physical Therapy Assistant
Active
Individual
NPI: 1699959627
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapy Assistant | 225200000X | Yes | 7975 (OR) |
Frequently Asked Questions
NPI 1699959627 is the National Provider Identifier for DIANE VANGORDER, P.T.A, a Physical Therapy Assistant provider located in Salem, OR. This NPI was enumerated on December 27, 2007.
DIANE VANGORDER, P.T.A practices at 4120 KURTH ST S, Salem, OR 97302.
Quick Facts
- NPI
- 1699959627
- Type
- Individual
- Enumerated
- Dec 27, 2007
- Last Updated
- Dec 27, 2007
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