Vallerie Burnell, LPTA

Individual provider Active NPI Physical Therapy Assistant · Rustburg, VA

NPI 1043489180 · NPPES record last updated Feb 22, 2008

Key facts

NPI
1043489180
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
2306001490 (VA)
Practice address
1051J Village Hwy
Rustburg, VA 24588-3800
Phone
(434) 332-4240
Fax
(434) 332-4260
NPI assigned
Feb 22, 2008
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2306001490VAMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2306001490 VA Yes

Addresses

Primary practice location

1051J Village Hwy
Rustburg, VA 24588-3800

Mailing address

1051J Village Hwy
Rustburg, VA 24588-3800
Phone (434) 332-4240

Other providers in Rustburg, VA

All providers in Rustburg, VA · Physical Therapy Assistant in Virginia

Sources for this page

Verify at the official NPI Registry.