| Doctor Name: | MISS JULIE L VANDERVEEN |
| NPI Number: | 1316159189 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | 2003000090 |
| Business Practice Address: | 4566 Orange Blvd Suite 1000 Sanford, FL - 327719104 |
| Business Phone Number: | 8778963660 |
| Business Fax Number: | |
| Mailing Address: | 1126 S Martin St, BOLIVAR |
| State: | MO |
| Postal Code: | 656133334 |
| Phone Number: | 4175699721 |
| Fax Number: | |
| NPI Enumeration Date: | 05/04/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 2003000090 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | MO |
| 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 |