| NPI | 1487023982 | 
|---|---|
| Former Name | REBECCA VAN VALKENBURGH | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT36302) | 
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 7953) | 
| 225100000X Physical Therapist (Licence: AL PTH7741) | |
| Enumeration Date | 2015-09-15 | 
| Last Update Date | 2025-08-25 |