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Individual
WILLIAM DAVID VAN EATON
Active
Individual
WILLIAM DAVID VAN EATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0446652
—
TN
01
—
3156797
GROUP NUMBER
TN
Enumeration date
05/20/2006
Last updated
11/19/2010
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