Van Den Broeck, Koenraad J

Van Den Broeck, Koenraad J is an individual health care provider with primary practice located at 13201 Walsingham Rd , Largo FL 33774-3518. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Van Den Broeck, Koenraad J can be contacted via phone (727) 593-7909.

Contact Information

Primary practice address
13201 Walsingham Rd Largo FL 33774-3518
Phone: (727) 593-7909
Fax: (727) 593-7897
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT 12340 Florida

Profile Details

NPI number 1386686632
LBN Legal business name Van Den Broeck, Koenraad J
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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