Provider Demographics
NPI:1891993556
Name:ALBERTO, DENISE MARIE (PT 22322)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:MARIE
Last Name:ALBERTO
Suffix:
Gender:F
Credentials:PT 22322
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16311 CAMELLIA TER
Mailing Address - Street 2:
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-3603
Mailing Address - Country:US
Mailing Address - Phone:408-307-0901
Mailing Address - Fax:
Practice Address - Street 1:3425 S BASCOM AVE STE F
Practice Address - Street 2:
Practice Address - City:CAMPBELL
Practice Address - State:CA
Practice Address - Zip Code:95008-7300
Practice Address - Country:US
Practice Address - Phone:408-307-0901
Practice Address - Fax:408-384-5108
Is Sole Proprietor?:No
Enumeration Date:2007-07-04
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT 223222251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic