Individual provider · Type 1 NPI
Karin Maria Van Den Broeck, MSPT
Pediatric Physical Therapist · Kokomo, IN
Practice location
1220 Laguna St
Kokomo, IN 46902-2330
Fax (765) 454-5347
Mailing address
PO Box 2496
Kokomo, IN 46904-2496
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist | 225100000X | 05005306A (IN) |
| Pediatric Physical Therapist Primary | 2251P0200X | 05005306A (IN) |
Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…
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About NPI 1720308778
Karin Maria Van Den Broeck, MSPT's National Provider Identifier is 1720308778, issued on Jun 1, 2010. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Kokomo, IN. The record was last updated on Oct 24, 2012.