Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | 2305005423 | VA |
NPI | 1184000226 |
---|---|
Provider Name | Mrs. Valeria Paola Niehaus |
First Address | Charlottesville, VA 22911-5614 |
Second Address | Charlottesville, VA 22911-5614 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2015 |
Last Update Date | 30/07/2015 |