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NPI Code Detail

MEDICARE: DANA VANDEVEER

MEDICARE: DANA VANDEVEER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT023435PA

General Provider Information

NPI Number : 1043625247
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANA VANDEVEER
Provider Business Mailing Address
First Line : 500 ROUTE 909
Second Line :
City : VERONA
State : PA
Zip : 15147-3831
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 500 ROUTE 909
Second Line :
City : VERONA
State : PA
Zip : 15147-3831
Country : US
Telephone Number : 412-826-5990
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2014
Last Update Date : 06/25/2014

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Directions to “ DANA VANDEVEER ” Practice Location

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