Individual
MRS. RACHEL ELIZABETH VAN VLYMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05007497A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000213361
BCBS OF IN
IN
05
—
200916840
—
IN
01
—
90000585
BCBS OF IL
IL
01
—
P00149506
MEDICARE RR
IN
Enumeration date
09/07/2006
Last updated
07/28/2009
Update your record
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