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Dr. Susanna (sunel) P Van Der Walt, DPT
Pediatric Physical Therapist in Albuquerque, New Mexico
NPI 1124410519

Susanna (sunel) P Van Der Walt is a Pediatric Physical Therapist based in Placitas, NM and is specialized in Pediatrics. Susanna (sunel) P Van Der Walt practices in Albuquerque, NM and has the professional credentials of DPT. The NPI Number for Susanna (sunel) P Van Der Walt is 1124410519 and holds a License No. 4594 (New Mexico).

The current practice location address for Susanna (sunel) P Van Der Walt is 5700 Harper Dr Ne Ste 250, Albuquerque, NM and can be reached out via phone at 505-828-2273.

Location: 5700 Harper Dr Ne Ste 250, Albuquerque, NM, 87043-8760
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Provider Profile Details
NPI Number
1124410519
Provider Name
Susanna (sunel) P Van Der Walt
Credential
DPT
Provider Entity Type
Individual
Gender
Female
Address
5700 Harper Dr Ne Ste 250, Albuquerque, NM, 87043-8760
Phone Number
505-828-2273
Fax Number
Provider Enumeration Date
02/23/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10171568 05 NM
326556 01 NM MEDICARE
institution
Provider Business Practice Location Address Details
Address
5700 Harper Dr Ne Ste 250
City
State
Zip
87109-3588
Phone Number
505-828-2273
Fax Number
person
Provider Business Mailing Address Details
Address
5700 Harper Dr Ne Ste 250
City
State
Zip
87109-3588
Phone Number
505-828-2273
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Pediatrics
Taxonomy
License No.
4594 (New Mexico)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
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Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Orthopedic
Taxonomy
License No.
4594 (New Mexico)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
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