Provider Demographics
NPI:1982838348
Name:VANZANDT, DAVID (CSCS, CEAS, CERT FCE)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:
Last Name:VANZANDT
Suffix:
Gender:M
Credentials:CSCS, CEAS, CERT FCE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1915 LENDEW ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27408-7033
Mailing Address - Country:US
Mailing Address - Phone:336-235-4522
Mailing Address - Fax:336-275-3320
Practice Address - Street 1:1915 LENDEW ST
Practice Address - Street 2:SUITE 200
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27408-7033
Practice Address - Country:US
Practice Address - Phone:336-235-4522
Practice Address - Fax:336-275-3320
Is Sole Proprietor?:No
Enumeration Date:2009-05-13
Last Update Date:2009-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner