person
Mr. Russell Allen Vande Vegte, PT
Orthopedic Physical Therapist in San Diego, California
NPI 1487850558

Russell Allen Vande Vegte is a Orthopedic Physical Therapist based in San Diego, CA and is specialized in Orthopedic. Russell Allen Vande Vegte practices in San Diego, CA and has the professional credentials of PT. The NPI Number for Russell Allen Vande Vegte is 1487850558 and holds a License No. 14066 (California).

The current practice location address for Russell Allen Vande Vegte is 4510 Viewridge Ave, San Diego, CA and can be reached out via phone at 858-694-4922.

Location: 4510 Viewridge Ave, San Diego, CA, 92110-1152
person
Provider Profile Details
NPI Number
1487850558
Provider Name
Russell Allen Vande Vegte
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
4510 Viewridge Ave, San Diego, CA, 92110-1152
Phone Number
858-694-4922
Fax Number
Provider Enumeration Date
06/25/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4510 Viewridge Ave
City
State
Zip
92123-1637
Phone Number
858-694-4922
Fax Number
person
Provider Business Mailing Address Details
Address
4510 Viewridge Ave
City
State
Zip
92123-1637
Phone Number
858-694-4922
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Orthopedic
Taxonomy
License No.
14066 (California)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
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