Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stephanie Vandervoort

Individual provider Physical Therapy Assistant · NPI 1053017012

Stephanie Vandervoort is a Physical Therapy Assistant in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

3837 Wabash Ave
San Diego, CA 92104-3134
Phone: (928) 287-8857
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 52363 (CA)

Record details

NPI number1053017012
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 1, 2023
Last updated in NPPESFebruary 1, 2023
Certification dateFebruary 1, 2023

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