Provider Demographics
NPI:1134497001
Name:CHAPMAN, VALERIE (PT)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:
Last Name:CHAPMAN
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 1:2700 WEST 9TH AVE
Mailing Address - Street 2:SUITE 10
Mailing Address - City:OSHKOSH
Mailing Address - State:WI
Mailing Address - Zip Code:54904-9905
Mailing Address - Country:US
Mailing Address - Phone:920-236-1850
Mailing Address - Fax:920-236-1860
Practice Address - Street 1:2700 WEST 9TH AVE
Practice Address - Street 2:SUITE 10
Practice Address - City:OSHKOSH
Practice Address - State:WI
Practice Address - Zip Code:54904-9905
Practice Address - Country:US
Practice Address - Phone:920-236-1850
Practice Address - Fax:920-236-1860
Is Sole Proprietor?:No
Enumeration Date:2011-12-07
Last Update Date:2011-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI11878-24225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist