Provider Demographics
NPI:1861054009
Name:ALTORFER, NOELLE B (PT, DPT)
Entity type:Individual
Prefix:
First Name:NOELLE
Middle Name:B
Last Name:ALTORFER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:NOELLE
Other - Middle Name:B
Other - Last Name:ALICEA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:34052 HARVARD AVE UNIT 3304
Mailing Address - Street 2:
Mailing Address - City:MILLSBORO
Mailing Address - State:DE
Mailing Address - Zip Code:19966-3844
Mailing Address - Country:US
Mailing Address - Phone:484-354-9565
Mailing Address - Fax:
Practice Address - Street 1:700 MARVEL RD
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:DE
Practice Address - Zip Code:19963-1740
Practice Address - Country:US
Practice Address - Phone:302-422-3303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-08
Last Update Date:2024-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE225100000X
PAPT032749225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist