Individual provider · Type 1 NPI

Susanna (sunel) P. Van Der Walt, DPT

Pediatric Physical Therapist · Albuquerque, NM

NPI number 1124410519 Active

Practice location

5700 Harper Dr NE Ste 250
Albuquerque, NM 87109-3588

Call (505) 828-2273 Map

Mailing address

30 Anasazi Trails Loop
Placitas, NM 87043-8760

Other practice locations

  • 7609 Northridge Ave NE, Albuquerque, NM 87109-3011 · (505) 476-0801
  • 7609 Northridge Ave NE, Albuquerque, NM 87109-3011 · (505) 476-0801

Specialties and licenses

TaxonomyCodeLicense
Orthopedic Physical Therapist 2251X0800X4594 (NM)
Pediatric Physical Therapist Primary 2251P0200X4594 (NM)

Pediatric Physical Therapist: 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 th…

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About NPI 1124410519

Susanna (sunel) P. Van Der Walt, DPT's National Provider Identifier is 1124410519, issued on Feb 23, 2015. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Albuquerque, NM. The record was last updated on Jan 1, 2021.