Van Leeuwen, Nicole M

Van Leeuwen, Nicole M is an sole proprietor health care provider with primary practice located at 1419 Denlow Ln , Royal Palm Beach FL 33411-4013. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Van Leeuwen, Nicole M can be contacted via phone (561) 762-0637.

Contact Information

Primary practice address
1419 Denlow Ln Royal Palm Beach FL 33411-4013
Phone: (561) 762-0637
Fax: (561) 357-5884
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X PTA 20818 Florida

Profile Details

NPI number 1912168725
LBN Legal business name Van Leeuwen, Nicole M
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 24th, 2008
Last updated Jun 24th, 2008 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1912168725 NPPES
Florida Other PTA 20818 AMERICAN PHYSICAL THERAPY ASSOCIATION

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