Doctor Name: | CONNOR VAN BAVEL |
NPI Number: | 1225430606 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.SC.P.T. |
License Number: | PTL.0012807 |
Business Practice Address: | 340 E 1st Ave 100 Broomfield, CO - 800202401 |
Business Phone Number: | 3034600329 |
Business Fax Number: | |
Mailing Address: | 4415 Lexi Cir, BROOMFIELD |
State: | CO |
Postal Code: | 800239595 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/17/2014 |
NPI Last Update Date: | 09/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PTL.0012807 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
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 |