| |
410 S Nova Rd Ste 2, Ormond Beach, FL 32174-0409 | |
(386) 675-6114 | |
(386) 968-1938 |
Full Name | |
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Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 410 S Nova Rd Ste 2, Ormond Beach, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699095042 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Provider Name | Karen A Hanflink |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1215162961 PECOS PAC ID: 4486790292 Enrollment ID: I20091008000427 |
Provider Name | Michel Van Thielen |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1841200144 PECOS PAC ID: 5991988636 Enrollment ID: I20110317000887 |
Mailing Address | Practice Location Address |
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410 S Nova Rd Ste 2, Ormond Beach, FL 32174-0409 Ph: (386) 675-6114 | 410 S Nova Rd Ste 2, Ormond Beach, FL 32174-0409 Ph: (386) 675-6114 |