Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 007587 | OH |
NPI | 1356875306 |
---|---|
Provider Name | Heather Valentie |
First Address | Spring Valley, OH 45370-7758 |
Second Address | Miamisburg, OH 45342-3839 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2017 |
Last Update Date | 17/04/2017 |