Healthcare Provider Details
I. General information
NPI: 1851903249
Provider Name (Legal Business Name): VALERIE ANN FRENCH PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/18/2020
Last Update Date: 08/18/2020
Certification Date: 08/18/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
317 N FALER AVE
PINEDALE WY
82941
US
IV. Provider business mailing address
PO BOX 1115
PINEDALE WY
82941-1115
US
V. Phone/Fax
- Phone: 307-367-6236
- Fax:
- Phone: 703-898-8240
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | PT-1980 |
| License Number State | WY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: