EDWARD V VAN DE WATER PT

ADVANCED SPINE AND SPORT REHABILITATION

Dr EDWARD V VAN DE WATER PT is a male medical professional, specializing in Physical Therapy. He graduated in 2001.

Contact

ADVANCED SPINE AND SPORT REHABILITATION

7300 WASHINGTON AVE C
RACINE
WI
534063821

Tel: 2628846418

EDWARD V VAN DE WATER PT Information

Npi 1083772529
Pac Id 2062316979
Professional Enrollment Id I20031121000811
Last Name VAN DE WATER
First Name EDWARD
Middle Name V
Suffix
Gender M
Credential PT
Medical School Name OTHER
Graduation Year 2001
Primary Specialty PHYSICAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name ADVANCED SPINE AND SPORT REHABILITATION
Group Practice Pac Id 6800895855
Number Of Group Practice Members 4
Line 1 Street Address 7300 WASHINGTON AVE C
Line 2 Street Address
Marker Of Address Line 2 Suppression
City RACINE
State WI
Zip Code 534063821
Phone Number 2628846418
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

Do you know EDWARD V VAN DE WATER PT?

Leave your comments, questions and feedback on this listing below. You can also correct any listing errors or omissions.