Provider Demographics
NPI:1235779968
Name:DORTON, VERONICA MARIA SANCHEZ (DPT)
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:MARIA SANCHEZ
Last Name:DORTON
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:VERONICA
Other - Middle Name:MARIA
Other - Last Name:SANCHEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:921 FOX AVE
Mailing Address - Street 2:
Mailing Address - City:BIG STONE GAP
Mailing Address - State:VA
Mailing Address - Zip Code:24219-3001
Mailing Address - Country:US
Mailing Address - Phone:773-633-8204
Mailing Address - Fax:
Practice Address - Street 1:640 W HIGHWAY 92 STE 201E
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:KY
Practice Address - Zip Code:40769-1936
Practice Address - Country:US
Practice Address - Phone:606-539-7257
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-10
Last Update Date:2020-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist