Provider Demographics
NPI:1851059075
Name:HYMEL, VALERIE CHRISTINA (PT)
Entity Type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:CHRISTINA
Last Name:HYMEL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MRS
Other - First Name:VALERIE
Other - Middle Name:CHRISTINA
Other - Last Name:MANSOOR-HYMEL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT
Mailing Address - Street 1:3632 TOLMAS DR
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-1843
Mailing Address - Country:US
Mailing Address - Phone:504-460-7425
Mailing Address - Fax:
Practice Address - Street 1:211 E WORTHY ST
Practice Address - Street 2:
Practice Address - City:GONZALES
Practice Address - State:LA
Practice Address - Zip Code:70737-4232
Practice Address - Country:US
Practice Address - Phone:504-460-7425
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-05
Last Update Date:2021-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA010072251N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA01007OtherPHYSICAL THERAPY LICESNE