Vanorden, Mary

Vanorden, Mary is an individual health care provider with primary practice located at 1246 Yellowstone Ave Ste F2 , Pocatello ID 83201-4372. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Specialist/Technologist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Specialist/Technologist is her primary health care specialty. Vanorden, Mary can be contacted via phone (208) 904-1270.

Contact Information

Primary practice address
1246 Yellowstone Ave Ste F2 Pocatello ID 83201-4372
Phone: (208) 904-1270
Fax: (208) 904-1270
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X PTA-368 Idaho
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Specialist/Technologist 225500000X T178488 Idaho

Profile Details

NPI number 1356742613
LBN Legal business name Vanorden, Mary
Credentials CPT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2014
Last updated Sep 5th, 2014 - about 10 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.

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