Doctor Name: | DANIEL J VANHOUSE |
NPI Number: | 1053532150 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 7311 |
Business Practice Address: | 10052 Pleasure Creek Cir Ne Blaine, MN - 554344233 |
Business Phone Number: | 6512357769 |
Business Fax Number: | |
Mailing Address: | 10052 Pleasure Creek Cir Ne, BLAINE |
State: | MN |
Postal Code: | 554344233 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/02/2007 |
NPI Last Update Date: | 05/22/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 7311 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |