Individual
JAMES MARTIN VAN DYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
110 S CHURCH ST, NEW CARLISLE, OH 45344-1902
(937) 845-0260
(937) 845-0262
Mailing address
110 S CHURCH ST, NEW CARLISLE, OH 45344-1902
(937) 845-0260
(937) 845-0262
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT003617
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2627385
—
OH
Enumeration date
05/15/2006
Last updated
05/19/2008
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