Organization
NEUROSOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROELOF VAN DER MEULEN DPT, ECS (MEMBER/OWNER)
(865) 776-3757
Entity
Organization
Contact information
Practice address
4701 SIMONA RD, KNOXVILLE, TN 37918-4535
(865) 776-3757
Mailing address
4701 SIMONA RD, KNOXVILLE, TN 37918-4535
Taxonomy
Speciality
Code
Description
License number
State
2251E1300X
Clinical Electrophysiology Physical Therapist
Primary
4175
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3654099
MEDICARE (PTAN)
—
05
—
3654099
—
TN
Enumeration date
12/18/2012
Last updated
12/27/2012
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