Provider Demographics
NPI:1972835841
Name:DUMAS, VALERY (MPT)
Entity Type:Individual
Prefix:MS
First Name:VALERY
Middle Name:
Last Name:DUMAS
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4350 WILL ROGERS PKWY STE 600
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73108-1808
Mailing Address - Country:US
Mailing Address - Phone:405-948-2813
Mailing Address - Fax:405-948-2807
Practice Address - Street 1:4350 WILL ROGERS PKWY STE 600
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73108-1808
Practice Address - Country:US
Practice Address - Phone:405-948-2813
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-03
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070017232225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
113326OtherHEALTHLINK PROVIDER ID
IL4117OtherHAMP PROVIDER ID
7216OtherPERSONALCARE PROVIDER ID
IL203OtherBLUE CROSS PROV ID
IL203OtherBLUE CROSS PROV ID