Provider Demographics
NPI:1831740034
Name:VAN VALKENBURG, CLAIRE LOUISE (PT,DPT)
Entity type:Individual
Prefix:
First Name:CLAIRE
Middle Name:LOUISE
Last Name:VAN VALKENBURG
Suffix:
Gender:F
Credentials:PT,DPT
Other - Prefix:
Other - First Name:CLAIRE
Other - Middle Name:LOUISE
Other - Last Name:SCHNEIDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT,DPT
Mailing Address - Street 1:775 HAYWOOD RD STE H
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-7111
Mailing Address - Country:US
Mailing Address - Phone:828-774-5222
Mailing Address - Fax:828-774-5254
Practice Address - Street 1:803 BERMUDA BAY BLVD
Practice Address - Street 2:
Practice Address - City:KILL DEVIL HILLS
Practice Address - State:NC
Practice Address - Zip Code:27948-9537
Practice Address - Country:US
Practice Address - Phone:252-558-1243
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-28
Last Update Date:2019-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305002538225100000X
NCP4032225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist