MEDICARE: MRS. VALARIE ELAINE MEYER P.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251X0800X	Orthopedic Physical Therapist	1026383	TX

General Provider Information

NPI Number	:	1710106117
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. VALARIE ELAINE MEYER P.T.

Provider Business Mailing Address
First Line	:	2800 CONNECTICUT LN
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76001-5504
Country	:	US
Telephone Number	:	817-465-5535
Fax Number	:

Provider Business Practice Location Address
First Line	:	2800 CONNECTICUT LN
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76001-5504
Country	:	US
Telephone Number	:	817-465-5535
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/24/2007
Last Update Date	:	12/27/2010

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