IndividualActive
Susanna (sunel) Van Der Walt, DPT
NPI 1124410519 · Pediatric Physical Therapist · Albuquerque, NM
Provider details
- NPI number
- 1124410519
- Entity type
- Individual
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- No
- License
- 4594 (NM)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
5700 Harper Dr Ne Ste 250
Albuquerque, NM 87109-3588
Phone: (505) 828-2273
Approximate (ZIP-level) locationGet directions
Mailing address
30 Anasazi Trails Loop
Placitas, NM 87043-8760
Additional practice locations (2)
- 7609 Northridge Ave NeAlbuquerque, NM 87109-3011Phone: (505) 476-0801
- 7609 Northridge Ave NeAlbuquerque, NM 87109-3011Phone: (505) 476-0801
Registry dates
- Enumerated
- 2015-02-23
- Last updated
- 2021-01-01
- Certified
- 2021-01-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.