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NPI Code Detail

MEDICARE: MS. MELISSA WALBERG PT

MEDICARE:  MS. MELISSA  WALBERG  PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist2305203689VA

General Provider Information

NPI Number : 1710170121
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MELISSA WALBERG PT
Provider Business Mailing Address
First Line : 1900 MONTICELLO AVE
Second Line :
City : NORFOLK
State : VA
Zip : 23517-2339
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1900 MONTICELLO AVE
Second Line :
City : NORFOLK
State : VA
Zip : 23517-2339
Country : US
Telephone Number : 757-831-9128
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2007
Last Update Date : 08/20/2007

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Directions to “ MS. MELISSA WALBERG PT” Practice Location

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