| NPI | 1033480249 |
|---|---|
| Former Name | VALERIE M HENAULT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AK PHYP2605) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM 4012) |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2022-02-23 |