Vanderest, Mariola Beata
Vanderest, Mariola Beata is an individual health care provider with primary practice located at 2141 Cass Lake Rd Suite 107, Keego Harbor MI 48320. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Vanderest, Mariola Beata can be contacted via phone (248) 706-1308.Contact Information
Primary practice address
2141 Cass Lake Rd Suite 107
Keego Harbor MI 48320
Phone: (248) 706-1308
Fax: (248) 706-1049
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 5501005050 | Michigan |
Profile Details
| NPI number | 1487843348 |
|---|---|
| LBN Legal business name | Vanderest, Mariola Beata |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2007 |
| Last updated | Oct 17th, 2007 - about 18 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 | 1487843348 | NPPES |
| Michigan | Other | 5501005050 | BOARD OF PHYSICAL THERAPY |
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