Provider Demographics
NPI:1982834982
Name:VOELKER, THERESE C (MPT)
Entity Type:Individual
Prefix:MRS
First Name:THERESE
Middle Name:C
Last Name:VOELKER
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5531 BEGONIA DR
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95124-6338
Mailing Address - Country:US
Mailing Address - Phone:408-832-5513
Mailing Address - Fax:
Practice Address - Street 1:5531 BEGONIA DR
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95124-6338
Practice Address - Country:US
Practice Address - Phone:408-832-5513
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-23
Last Update Date:2009-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT19869171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor