Vande Vegte, Lisa
Vande Vegte, Lisa is an individual health care provider with primary practice located at 28141 Kelly Johnson Pkwy , Valencia CA 91355-5003. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Vande Vegte, Lisa can be contacted via phone (661) 388-5945.Contact Information
Primary practice address
28141 Kelly Johnson Pkwy
Valencia CA 91355-5003
Phone: (661) 388-5945
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 21041 | California |
Profile Details
| NPI number | 1093337438 |
|---|---|
| LBN Legal business name | Vande Vegte, Lisa |
| Credentials | OTR/L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 7th, 2020 |
| Last updated | Dec 22nd, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093337438 | NPPES |
| California | Other | 0010036836 | KAISER |
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