| NPI | 1770611063 |
|---|---|
| Other Name | ERNST JOHN VAN KOETSVELD |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: VA 2305209358) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 005535) |
| 225100000X Physical Therapist (Licence: VA 2305209358) | |
| 2251S0007X Physical Therapist, Sports (Licence: CT 005535) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: CT 005535) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: MD N2945) | |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2024-01-18 |