| Doctor Name: | MRS. KARIN MARIA VAN DEN BROECK |
| NPI Number: | 1720308778 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSPT |
| License Number: | 05005306A |
| Business Practice Address: | 1220 Laguna St Kokomo, IN - 469022330 |
| Business Phone Number: | 7654545340 |
| Business Fax Number: | 7654545347 |
| Mailing Address: | Po Box 2496, KOKOMO |
| State: | IN |
| Postal Code: | 469042496 |
| Phone Number: | 7654545340 |
| Fax Number: | 7654545347 |
| NPI Enumeration Date: | 06/01/2010 |
| NPI Last Update Date: | 10/24/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 05005306A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| 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 |