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Gerald (gerry) C Van Dyke, PT
Sports Physical Therapist in Aptos, California
NPI 1659318673

Gerald (gerry) C Van Dyke is a Sports Physical Therapist based in Aptos, CA and is specialized in Sports. Gerald (gerry) C Van Dyke practices in Aptos, CA and has the professional credentials of PT. The NPI Number for Gerald (gerry) C Van Dyke is 1659318673 and holds a License No. PT13181 (California).

The current practice location address for Gerald (gerry) C Van Dyke is 6193 Soquel Dr, Aptos, CA and can be reached out via phone at 831-462-1212 and via fax at 831-462-1221.

Location: 6193 Soquel Dr, Aptos, CA, 95003-3116
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659318673
Provider Name
Gerald (gerry) C Van Dyke
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
6193 Soquel Dr, Aptos, CA, 95003-3116
Phone Number
831-462-1212
Fax Number
831-462-1221
Provider Enumeration Date
05/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
650009364 01 CA RAILROAD MEDICARE
770393462 01 CA BLUE CROSS
PT0131810 05 CA
ZZZ45601Z 01 CA BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
6193 Soquel Dr
City
Aptos
State
California
Zip
95003-3116
Phone Number
831-462-1212
Fax Number
831-462-1221
person
Provider Business Mailing Address Details
Address
6193 Soquel Dr
City
Aptos
State
California
Zip
95003-3116
Phone Number
831-462-1212
Fax Number
831-462-1221
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Sports
Taxonomy
2251S0007X
License No.
PT13181 (California)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.
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