Provider Demographics
NPI:1871886135
Name:HAIR, VALERIE (PT)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:
Last Name:HAIR
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4375 TOWN CENTER BLVD APT 2203
Mailing Address - Street 2:
Mailing Address - City:EL DORADO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:95762-7173
Mailing Address - Country:US
Mailing Address - Phone:442-290-9095
Mailing Address - Fax:
Practice Address - Street 1:1252 BROADWAY STE B
Practice Address - Street 2:
Practice Address - City:PLACERVILLE
Practice Address - State:CA
Practice Address - Zip Code:95667-5827
Practice Address - Country:US
Practice Address - Phone:530-622-9410
Practice Address - Fax:530-622-9445
Is Sole Proprietor?:No
Enumeration Date:2011-05-19
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY62-033419225100000X
CA291251225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist