NPI 1003486895

Nicole Vandzura

Practitioner Athletic Trainer Loris, SC

Practice location

Address: 4751 Ansel Ln, Loris, SC 29569-6427
Phone: (732) 609-0775

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

Other Specialist/Technologist providers in South Carolina →

Registry record

NPI: 1003486895
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Jun 2021
Record last updated: 25 Jun 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.