Doctor Name: | DR. LAURIE ANN VALENZANO |
NPI Number: | 1003008806 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.P.T |
License Number: | 11160 |
Business Practice Address: | 9040 Fitzsimmons Dr Joint Base Lewis Mcchord, WA - 984311000 |
Business Phone Number: | 2539680780 |
Business Fax Number: | 2539680780 |
Mailing Address: | 9040 Fitzsimmons Dr, JOINT BASE LEWIS MCCHORD |
State: | WA |
Postal Code: | 984311000 |
Phone Number: | 2539680780 |
Fax Number: | 2539680780 |
NPI Enumeration Date: | 08/15/2007 |
NPI Last Update Date: | 02/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 11160 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |