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

DANIEL WILLIAM VAN DYCK, PTA

Active Sole Proprietor

DANIEL WILLIAM VAN DYCK, PTA is a Skilled Nursing Facility healthcare provider located in CROSSETT, Arkansas. NPI 1780041244 is currently active in the NPPES registry. Verify at CMS.

Skilled Nursing Facility · CROSSETT, AR

Registration Details

NPI Number
1780041244
Provider Type
Individual
Gender
Male
NPI Issued
Jan 28, 2016 (10.500204796282 yrs)
Last Updated
Jan 29, 2016
License
PTA 2602 (AR)
Sole Proprietor
Yes

Practice Information

Address
118 JERRY SELBY DR
CROSSETT, AR, 716354734
Browse AR providers · Browse ZIP 71635
Phone
8703641534
Primary Specialty
Skilled Nursing Facility
314000000X

Other Skilled Nursing Facility Providers in CROSSETT, AR

Name Credential NPI
MESHELLE SMITH COTA/L 1972961464
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.