Individual
DR. ROELOF A. VAN DER MEULEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT, ECS
Contact information
Practice address
4701 SIMONA RD, KNOXVILLE, TN 37918-4535
(865) 776-3757
Mailing address
4701 SIMONA RD, KNOXVILLE, TN 37918-4535
(865) 776-3757
Taxonomy
Speciality
Code
Description
License number
State
2251E1300X
Clinical Electrophysiology Physical Therapist
Primary
4175
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3654099
—
TN
01
—
3717547
LEGACY GROUP
TN
01
—
4175
STATE LICENSE
TN
Enumeration date
04/18/2007
Last updated
12/27/2012
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