Individual
DR. SUSANNA (SUNEL) P VAN DER WALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
5700 HARPER DR NE STE 250, ALBUQUERQUE, NM 87109-3588
(505) 828-2273
Mailing address
30 ANASAZI TRAILS LOOP, PLACITAS, NM 87043-8760
(505) 639-9937
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
4594
NM
2251X0800X
Orthopedic Physical Therapist
4594
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10171568
—
NM
01
—
326556
MEDICARE
NM
Enumeration date
02/23/2015
Last updated
01/01/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us