Provider Demographics
NPI:1043659477
Name:ROSS, VALERIE ALINA (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:VALERIE
Middle Name:ALINA
Last Name:ROSS
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:126 HWY 280 WEST
Mailing Address - Street 2:PHOEBE SUMTER MEDICAL CENTER
Mailing Address - City:AMERICUS
Mailing Address - State:GA
Mailing Address - Zip Code:31719
Mailing Address - Country:US
Mailing Address - Phone:229-931-1274
Mailing Address - Fax:
Practice Address - Street 1:126 HWY 280 WEST
Practice Address - Street 2:PHOEBE SUMTER MEDICAL CENTER
Practice Address - City:AMERICUS
Practice Address - State:GA
Practice Address - Zip Code:31719
Practice Address - Country:US
Practice Address - Phone:229-931-1274
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-19
Last Update Date:2013-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA010340225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist