Elaine Van de Wille
Elaine Van de Wille is a Student in an Organized Health Care Education/Training Program in Oceanside, California. Practices as a sole proprietor and works from 3 locations. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
Oceanside, CANo coordinates on file. Search this address in Google Maps
Additional practice locations (2)
- 3609 N 109th Ave, Avondale, AZ 85392 — (602) 882-5021
- 3609 N 109th Ave, Avondale, AZ 85392 — (602) 882-5021
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 305823 (CA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1699249458 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 15, 2019 |
| Last updated in NPPES | March 28, 2024 |
| Certification date | March 28, 2024 |
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