| Doctor Name: | MARCIA JOAN VANDENHEUVEL |
| NPI Number: | 1053533836 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | 10046-024 |
| Business Practice Address: | 8633 32nd Ave Kenosha, WI - 531425187 |
| Business Phone Number: | 2626948800 |
| Business Fax Number: | 2626949125 |
| Mailing Address: | 201 Meadowlark Dr Apt 10, BURLINGTON |
| State: | WI |
| Postal Code: | 531051767 |
| Phone Number: | 9205950177 |
| Fax Number: | |
| NPI Enumeration Date: | 05/02/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 10046-024 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |