Provider Demographics
NPI:1386240489
Name:VANDERHOOF, MARGARET (PT, DPT)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:VANDERHOOF
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4155 WESTWIND DR
Mailing Address - Street 2:
Mailing Address - City:VERNON
Mailing Address - State:NY
Mailing Address - Zip Code:13476-4629
Mailing Address - Country:US
Mailing Address - Phone:315-271-7322
Mailing Address - Fax:
Practice Address - Street 1:221 BROAD ST
Practice Address - Street 2:
Practice Address - City:ONEIDA
Practice Address - State:NY
Practice Address - Zip Code:13421-2149
Practice Address - Country:US
Practice Address - Phone:315-363-8711
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-05
Last Update Date:2020-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY044556225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist