Individual
DANIEL VAN SLYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
115 DEACON TILLER CT, DUNCAN, SC 29334-8880
(864) 587-1921
(864) 587-9119
Mailing address
PO BOX 3408, IRMO, SC 29063-4015
(803) 732-5887
(803) 732-5997
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT36825
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11778
PHYSICAL THERAPY LICENSE
SC
01
—
5501016462
PHYSICAL THERAPY LICENSE
MI
Enumeration date
05/19/2015
Last updated
03/25/2024
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