Provider Demographics
NPI:1063196764
Name:DEL CAMPO, JOSHUA JAMES (DPT)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:JAMES
Last Name:DEL CAMPO
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:69 BARRICKS LN STE E
Mailing Address - Street 2:
Mailing Address - City:RUSTBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24588-4681
Mailing Address - Country:US
Mailing Address - Phone:434-322-3904
Mailing Address - Fax:434-509-1695
Practice Address - Street 1:69 BARRICKS LN STE E
Practice Address - Street 2:
Practice Address - City:RUSTBURG
Practice Address - State:VA
Practice Address - Zip Code:24588-4681
Practice Address - Country:US
Practice Address - Phone:434-322-3904
Practice Address - Fax:434-509-1695
Is Sole Proprietor?:No
Enumeration Date:2023-06-13
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305215834225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist