Ricky Vanrheenen

NPI #1700130440 in Brookings, Oregon

Provider Information

NPI Number: 1700130440
Entity Type: Individual
Name: Ricky Vanrheenen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Nov 2, 2012
Last Updated: Nov 2, 2012

Practice Location

Address: 1 PARK AVE
City: Brookings
State: Oregon
ZIP Code: 97415-9145
Phone: (541) 469-3111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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