Provider Demographics
NPI:1619108826
Name:VOLTZ, JAMES THOMAS (LPTA)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:THOMAS
Last Name:VOLTZ
Suffix:
Gender:M
Credentials:LPTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:326 MARQUETTE CT
Mailing Address - Street 2:
Mailing Address - City:CROZET
Mailing Address - State:VA
Mailing Address - Zip Code:22932-9322
Mailing Address - Country:US
Mailing Address - Phone:434-825-3761
Mailing Address - Fax:
Practice Address - Street 1:326 MARQUETTE CT
Practice Address - Street 2:
Practice Address - City:CROZET
Practice Address - State:VA
Practice Address - Zip Code:22932-9322
Practice Address - Country:US
Practice Address - Phone:434-825-3761
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-05
Last Update Date:2009-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2306001424225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant