Provider Demographics
NPI:1780322446
Name:VAN DE HEI, ABIGAIL PEETERS (DPT)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:PEETERS
Last Name:VAN DE HEI
Suffix:
Gender:
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1711 RIDGEWAY DR
Mailing Address - Street 2:
Mailing Address - City:DE PERE
Mailing Address - State:WI
Mailing Address - Zip Code:54115-3609
Mailing Address - Country:US
Mailing Address - Phone:920-660-5446
Mailing Address - Fax:
Practice Address - Street 1:4125 DICK POND RD
Practice Address - Street 2:
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29588-6807
Practice Address - Country:US
Practice Address - Phone:843-999-0284
Practice Address - Fax:843-353-2707
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-23
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZCP017195T225100000X
GACP024268T225100000X
IN05014634A225100000X
MOCP019105T225100000X
WI15787-24225100000X
SC11547225100000X
RIPT03886225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist