Provider Demographics
NPI:1376811299
Name:BERENSHTEYN, VALERIA V (MS, PT)
Entity Type:Individual
Prefix:MRS
First Name:VALERIA
Middle Name:V
Last Name:BERENSHTEYN
Suffix:
Gender:F
Credentials:MS, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3225 MCINTYRE ST
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23233-1763
Mailing Address - Country:US
Mailing Address - Phone:804-305-8292
Mailing Address - Fax:
Practice Address - Street 1:3225 MCINTYRE ST
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23233-1763
Practice Address - Country:US
Practice Address - Phone:804-305-8292
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-06
Last Update Date:2011-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305202178225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist