Provider Demographics
NPI:1487829701
Name:RHODES, VALERIE J (MPH, RPT)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:J
Last Name:RHODES
Suffix:
Gender:F
Credentials:MPH, RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:88 NILES ROAD
Mailing Address - Street 2:
Mailing Address - City:AMSTON
Mailing Address - State:CT
Mailing Address - Zip Code:06231-1620
Mailing Address - Country:US
Mailing Address - Phone:860-228-2893
Mailing Address - Fax:
Practice Address - Street 1:88 NILES ROAD
Practice Address - Street 2:
Practice Address - City:AMSTON
Practice Address - State:CT
Practice Address - Zip Code:06231-1620
Practice Address - Country:US
Practice Address - Phone:860-228-2893
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-28
Last Update Date:2008-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT24472251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT080002447CT01OtherBLUE CROSS/BLUE SHIELD