Doctor Name: | JASON LEIGH VANVOOREN |
NPI Number: | 1275520983 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT, ATC |
License Number: | 05006992A |
Business Practice Address: | 11502 Hearthstone Dr Fishers, IN - 460373838 |
Business Phone Number: | 3175135190 |
Business Fax Number: | 3175950702 |
Mailing Address: | 11502 Hearthstone Dr, FISHERS |
State: | IN |
Postal Code: | 460373838 |
Phone Number: | 3175950702 |
Fax Number: | |
NPI Enumeration Date: | 09/29/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 05006992A |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | IN |
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 |