Search › North Dakota › 2255A2300X
Candace Vander Wal, MS, LAT, ATC, CSCS
NPI 1225697899 · on the registry since 2019 · sole proprietor
Practice
- Address
- 3451 N 14th St Ste C
Bismarck, ND 58503 - Phone
- (701) 323-1125
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- ND
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-06-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Dakota