Shannon Elizabeth Vandevelde in Sierra Madre - Physical Therapist
Shannon Elizabeth Vandevelde - NPI 1649216011
Shannon Elizabeth Vandevelde is a Physical Therapist in Sierra Madre, California. Shannon Elizabeth Vandevelde practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Shannon Elizabeth Vandevelde is 1649216011. The last update date is 2007-07-08.
Shannon Elizabeth Vandevelde's current location address is 205 N Hermosa Ave, Sierra Madre, California. You can contact this provider via phone number 6268406384 and fax number 6268360612. The mailing address for Shannon Elizabeth Vandevelde is 205 N Hermosa Ave, Sierra Madre, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Shannon Elizabeth Vandevelde |
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Address | 205 N Hermosa Ave, Sierra Madre, California |
Phone Number | 6268406384 |
Fax Number | 6268360612 |
Sole Proprietor | N |
Credentials | P.T. |
NPI Number Detail
NPI Number | 1649216011 |
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Provider Enumeration Date | 2006-06-22 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 205 N Hermosa Ave |
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City | Sierra Madre |
State | California (CA) |
Post Code | 910241731 |
Phone Number | 6268406384 |
Fax Number | 6268360612 |
Provider's Primary Taxonomy Detail
Speciality | Physical Therapist |
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Taxonomy | 225100000X |
Licence No | PT24063 |
Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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What is the unique 10-digit identifier code assigned to Shannon Elizabeth Vandevelde by the Centers for Medicare & Medicaid Services?
The Shannon Elizabeth Vandevelde has been issued the NPI (National Provider Identifier) 1649216011 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Shannon Elizabeth Vandevelde's facilities are situated?
The facilities of Shannon Elizabeth Vandevelde are physically located at the following address: 205 N Hermosa Ave, Sierra Madre, CA, 910241731.
What is Shannon Elizabeth Vandevelde's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Shannon Elizabeth Vandevelde is Physical Therapist, and the corresponding taxonomy classification code for this specialized field is 225100000X.
On what date did the Shannon Elizabeth Vandevelde receive its 1649216011 assignment from the Centers for Medicare & Medicaid Services?
The Shannon Elizabeth Vandevelde was assigned its 1649216011 by the Centers for Medicare & Medicaid Services on 2006-06-22.
As of what date were the Shannon Elizabeth Vandevelde's details last updated?
The information pertaining to the Shannon Elizabeth Vandevelde, including its address, specialty, and other details, was most recently updated on 2007-07-08.