Provider Demographics
NPI:1063537900
Name:ALTENBURGER, VALERIE JOAN (MPT)
Entity type:Individual
Prefix:MS
First Name:VALERIE
Middle Name:JOAN
Last Name:ALTENBURGER
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 SCHOOL LN
Mailing Address - Street 2:
Mailing Address - City:FEASTERVILLE TREVOSE
Mailing Address - State:PA
Mailing Address - Zip Code:19053-4217
Mailing Address - Country:US
Mailing Address - Phone:267-342-5995
Mailing Address - Fax:
Practice Address - Street 1:300 EAST WINCHESTER AVE
Practice Address - Street 2:ATTLEBORO
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047
Practice Address - Country:US
Practice Address - Phone:215-757-3739
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT013488L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist