| Doctor Name: | JARED VAN DER BEEK |
| NPI Number: | 1063519726 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.T. |
| License Number: | QA009772 |
| Business Practice Address: | 1801 Bush St Lowr Level San Francisco, CA - 941095239 |
| Business Phone Number: | 4157635523 |
| Business Fax Number: | |
| Mailing Address: | 1a Wainwright Pl, MILL VALLEY |
| State: | CA |
| Postal Code: | 949415034 |
| Phone Number: | 4157635523 |
| Fax Number: | |
| NPI Enumeration Date: | 09/17/2006 |
| NPI Last Update Date: | 07/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | QA009772 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |