Individual
DR. JACOB ALAN VANELSWYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
4300 MARKET POINTE DR, BLOOMINGTON, MN 55435-5423
(952) 769-1684
Mailing address
4300 MARKET POINTE DR, BLOOMINGTON, MN 55435-5423
(952) 769-1684
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
031102-1
NY
225100000X
Physical Therapist
20050255496
MO
225100000X
Physical Therapist
Primary
7910
MN
Other
Enumeration date
10/16/2006
Last updated
09/28/2010
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