Faith Marie Vandenberg
Physical Therapy Assistant
N4065 County Road U
De Pere
, Wisconsin 54115-8801
Faith Marie Vandenberg
Physical Therapy Assistant
N4065 County Road U
De Pere
, Wisconsin 54115-8801
(920) 422-1193
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About
Features
Specialties
- Physical Therapy Assistant
Languages spoken
- English
Location
First Address
- Faith Marie Vandenberg
- N4065 County Road U
- De Pere, WI
- Zip : 54115-8801
- Phone : (920) 422-1193
Second Address
- Faith Marie Vandenberg
- N4065 County Road U
- De Pere, WI
- Zip : 54115-8801
- Phone : (920) 422-1193
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 722237 | WI |
National Provider Identifier
| NPI | 1013583780 |
|---|---|
| Provider Name | Faith Marie Vandenberg |
| First Address | De Pere, WI 54115-8801 |
| Second Address | De Pere, WI 54115-8801 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/06/2021 |
| Last Update Date | 02/06/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.