Healthcare Provider Details

I. General information

NPI: 1508225814
Provider Name (Legal Business Name): CHRISTINE VALIGOSKY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/15/2016
Last Update Date: 02/15/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 MANOR DR
PERRYSBURG OH
43551-3118
US

IV. Provider business mailing address

940 TRAILWOOD CT
TOLEDO OH
43615-6776
US

V. Phone/Fax

Practice location:
  • Phone: 419-874-0306
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT009517
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: