| Doctor Name: | MR. JOHAN DE BEER |
| NPI Number: | 1689836728 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | 008698 |
| Business Practice Address: | 6000 Brockton Drive Suite 107 Lockport, NY - 14094 |
| Business Phone Number: | 7164330070 |
| Business Fax Number: | 7164331171 |
| Mailing Address: | Po Box 481, LYNDONVILLE |
| State: | NY |
| Postal Code: | 140980481 |
| Phone Number: | 5857652562 |
| Fax Number: | 5857652198 |
| NPI Enumeration Date: | 06/30/2008 |
| NPI Last Update Date: | 05/28/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 008698 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| 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 |