Provider Demographics
NPI:1629093307
Name:BELTRANE-PRESTON, VALERIE J (PT)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:J
Last Name:BELTRANE-PRESTON
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 1:12665 EMORY FARM LN
Mailing Address - Street 2:
Mailing Address - City:SYKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21784-5537
Mailing Address - Country:US
Mailing Address - Phone:410-489-2839
Mailing Address - Fax:
Practice Address - Street 1:3650 CAPE CENTER DR
Practice Address - Street 2:SUITE201
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28304-4406
Practice Address - Country:US
Practice Address - Phone:910-423-5550
Practice Address - Fax:910-423-5552
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2009-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD23020225100000X
NC2570225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist