Individual
CHERYL VAN DER LAAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
4545 SW 104TH AVE, MIAMI, FL 33165-5634
(305) 221-0284
Mailing address
4545 SW 104TH AVE, MIAMI, FL 33165-5634
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12076
FL
Other
Enumeration date
08/13/2008
Last updated
08/13/2008
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