| Doctor Name: | MRS. KELLY ELIZABETH VAN RIJ |
| NPI Number: | 1255546107 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.AC., RPT |
| License Number: | PT8620 |
| Business Practice Address: | 1450 North Highway Us 1 Suite 900 Ormond Beach, FL - 32174 |
| Business Phone Number: | 3866712112 |
| Business Fax Number: | 3866712113 |
| Mailing Address: | 454 Leeway Trl, ORMOND BEACH |
| State: | FL |
| Postal Code: | 321742563 |
| Phone Number: | 3866731014 |
| Fax Number: | 3866712113 |
| NPI Enumeration Date: | 05/14/2007 |
| NPI Last Update Date: | 05/17/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT8620 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| 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 |