| Doctor Name: | MR. JOHN M VONDRUSKA |
| NPI Number: | 1083603963 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MPT |
| License Number: | 2305005881 |
| Business Practice Address: | 121 G.h. Physical Therapy Clinic Apo, AP - 96205-0054 |
| Business Phone Number: | 011-822-7917-5001 |
| Business Fax Number: | 011-822-7917-3068 |
| Mailing Address: | 18th Medcom Attn Dccs-qm (credentials), APO |
| State: | AP |
| Postal Code: | 96205-0054 |
| Phone Number: | 011-822-7916-6027 |
| Fax Number: | 011-822-7917-8110 |
| NPI Enumeration Date: | 10/14/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 2305005881 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| 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 |