IndividualActive
Phyllis Vandenberg, MS PT GCS
NPI 1811033905 · Geriatric Physical Therapist · Durham, NC
Provider details
- NPI number
- 1811033905
- Entity type
- Individual
- Primary specialty
- Geriatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MS PT GCS
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2122 (NC)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
508 Fulton St
Durham, NC 27705-3875
Phone: (919) 286-0411
Approximate (ZIP-level) locationGet directions
Mailing address
2260 Cranford Rd
Durham, NC 27705-1008
Registry dates
- Enumerated
- 2007-01-29
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.