Individual
MR. WILLIAM JANSEN VANHOORNBEEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1028 W BROADWAY ST STE A, BOLIVAR, MO 65613-1809
(417) 777-2888
(417) 777-4597
Mailing address
1028 W BROADWAY ST STE A, BOLIVAR, MO 65613-1809
(417) 777-2888
(417) 777-4597
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
109708
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
487223604
—
MO
Enumeration date
08/12/2006
Last updated
07/21/2022
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