Individual
ANN VAN HERCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1901 MASON AVE STE 105, DAYTONA BEACH, FL 32117
(386) 238-9074
(386) 238-9075
Mailing address
1920 BAYTREE CT, PORT ORANGE, FL 32128-3747
(386) 238-9074
(386) 238-9075
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 16029
FL
Other
Enumeration date
08/22/2016
Last updated
07/27/2018
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