Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KOENRAAD J VAN DEN BROECK, PT
ActivePhysical Therapy Assistant · LARGO, FL
Registration Details
- NPI Number
- 1386686632
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 12, 2006 (19.858870509516 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PT 12340 (FL)
Practice Information
- Address
-
13201 WALSINGHAM RDLARGO, FL, 337743518Browse FL providers · Browse ZIP 33774
- Phone
- 7275937909
- Fax
- 7275937897
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in LARGO, FL
| Name | Credential | NPI |
|---|---|---|
| MRS. NADINE MARIE VERDEBOUT | P.T., M.L.T. | 1922003425 |
| MR. FRANCIS L GOLDEN | PT | 1366410185 |
| MR. JASON ANTHONY MARQUARDT | PT | 1851350193 |
| MS. MARIETTA S DINOPOL | PT | 1265493696 |
| MR. JOHN PAUL MELTON | RPT | 1649212622 |
| HOLLY BETH SWALES | — | 1972533248 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.