Individual
DR. LAURIE ANN VALENZANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T
Contact information
Practice address
9040 FITZSIMMONS DR, JOINT BASE LEWIS MCCHORD, WA 98431-1000
(253) 968-0780
(253) 968-0780
Mailing address
9040 FITZSIMMONS DR, JOINT BASE LEWIS MCCHORD, WA 98431-1000
(253) 968-0780
(253) 968-0780
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
11160
NC
225100000X
Physical Therapist
Primary
40QA01383400
NJ
225100000X
Physical Therapist
PT009916
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116819
REHABILITATION AGENCY CERTIFICATION
GA
01
—
426619
REHABILITATION AGENCY CERTIFICATION
SC
Enumeration date
08/15/2007
Last updated
02/26/2013
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