Provider Demographics
NPI:1134479694
Name:STERBA, WARREN P (PT)
Entity Type:Individual
Prefix:
First Name:WARREN
Middle Name:P
Last Name:STERBA
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 10518
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24543-5009
Mailing Address - Country:US
Mailing Address - Phone:434-791-4691
Mailing Address - Fax:434-791-4692
Practice Address - Street 1:990 MAIN ST
Practice Address - Street 2:SUITE 101
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24541-1828
Practice Address - Country:US
Practice Address - Phone:434-791-4691
Practice Address - Fax:434-791-4692
Is Sole Proprietor?:No
Enumeration Date:2012-09-12
Last Update Date:2012-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305001476225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist