Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 226300000X | Kinesiotherapist |
NPI | 1083716526 |
---|---|
Provider Name | Ms. Valerie Rene Perkins |
First Address | Richmond, VA 23234-5287 |
Second Address | Richmond, VA 23234-5287 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/09/2006 |
Last Update Date | 08/07/2007 |