Doctor Name: | ANDREA J VANCAMPEN |
NPI Number: | 1558675660 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSPT |
License Number: | 4915 |
Business Practice Address: | 109 Mcnary Estates Dr N Keizer, OR - 973037459 |
Business Phone Number: | 5034635231 |
Business Fax Number: | 5034635175 |
Mailing Address: | Po Box 12686, SALEM |
State: | OR |
Postal Code: | 973090686 |
Phone Number: | 5035408701 |
Fax Number: | 5033718772 |
NPI Enumeration Date: | 07/30/2010 |
NPI Last Update Date: | 07/30/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 4915 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
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 |