Provider Demographics
NPI:1356467690
Name:WUCHENICH-NELSON, VALERIE MILANA (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:MILANA
Last Name:WUCHENICH-NELSON
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:PO BOX 5533
Mailing Address - Street 2:
Mailing Address - City:OROVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95966-0533
Mailing Address - Country:US
Mailing Address - Phone:530-534-5452
Mailing Address - Fax:530-534-8412
Practice Address - Street 1:2222 5TH AVE
Practice Address - Street 2:
Practice Address - City:OROVILLE
Practice Address - State:CA
Practice Address - Zip Code:95965-5816
Practice Address - Country:US
Practice Address - Phone:530-534-5452
Practice Address - Fax:530-534-8412
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT7347225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist