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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LUCAS JACOB VANDERLAAN, PHYSICAL THERAPIST

Active

LUCAS JACOB VANDERLAAN, PHYSICAL THERAPIST is a Physical Therapy Assistant healthcare provider located in BERKLEY, Michigan. NPI 1679010177 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · BERKLEY, MI

Registration Details

NPI Number
1679010177
Provider Type
Individual
Gender
Male
NPI Issued
Jan 23, 2017 (9.3752181261198 yrs)
Last Updated
Jan 23, 2017
License
5501018017 (MI)

Practice Information

Address
28933 WOODWARD AVE
BERKLEY, MI, 480720923
Browse MI providers · Browse ZIP 48072
Phone
2484147592
Fax
2484147661
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in BERKLEY, MI

Name Credential NPI
ANN TONKIN PT, ATC 1285836957
DR. CHRISTOBEL MANOPRIYA SCHAFFER DPT 1447450341
MR. AHMED A SHRIEF PT 1306037395
MR. MICHAEL ANDREW COLLING PT, MTC, DPT 1114197795
MRS. JEANNETTE ROSE WIATER DPT 1194023523
MEAGAN LYNN REDPATH DPT 1457690786
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.