Individual
BRIAN VAN VALKENBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3131 TOM AUSTIN HWY, SPRINGFIELD, TN 37172-4801
(615) 382-7979
Mailing address
301 BRIARCLIFF AVE APT C16, OAK RIDGE, TN 37830-8787
(941) 266-9219
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6535
TN
Other
Enumeration date
09/24/2017
Last updated
09/24/2017
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