Individual
DOUGLAS R VANHEEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT/ATC
Contact information
Practice address
2541 PASS RD, SUITE F, BILOXI, MS 39531-2106
(228) 388-1002
(228) 388-1006
Mailing address
10521 DOGWOOD DR, OCEAN SPRINGS, MS 39565-8376
(228) 238-9039
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
AT0391
MS
174400000X
Specialist
Primary
PT3713
MS
225100000X
Physical Therapist
PTH7331
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015077
—
MS
01
—
1033218524
GROUP NPI
MS
Enumeration date
04/10/2007
Last updated
11/04/2014
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