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Chanel Nicole Vanderhorst, PT

Physical Therapist in Columbia, MD. Individual provider (NPI-1).

NPI number1760620306
StatusActive
Last updated in NPPESDec 4, 2018

Details

NPI
1760620306
Entity type
Individual (NPI-1)
Name
Chanel Nicole Vanderhorst
Credential
PT
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 4, 2009
Last updated
Dec 4, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist23464MDYes

Practice location

8865 Stanford Blvd
Suite 114
Columbia, MD 21045-5420

Phone 410-290-4480

Mailing address

Po Box 356
Burtonsville, MD 20866-0356

Phone 301-421-1125 · Fax 301-500-2175

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