Provider Demographics
NPI:1083753115
Name:ROSHEUVEL, HENK AUKE (PT)
Entity Type:Individual
Prefix:MR
First Name:HENK AUKE
Middle Name:
Last Name:ROSHEUVEL
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12224 FALL CREEK CT
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:FL
Mailing Address - Zip Code:34669-2888
Mailing Address - Country:US
Mailing Address - Phone:727-856-9059
Mailing Address - Fax:
Practice Address - Street 1:4105 LITTLE RD
Practice Address - Street 2:SUITE 100
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34655-1731
Practice Address - Country:US
Practice Address - Phone:727-372-6886
Practice Address - Fax:727-375-1663
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT11595225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist