Provider Demographics
NPI:1013105980
Name:VALPONI, DAVID L (RPT)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:L
Last Name:VALPONI
Suffix:
Gender:M
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1430 ESPLANADE
Mailing Address - Street 2:SUITE 8
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-3366
Mailing Address - Country:US
Mailing Address - Phone:530-894-0221
Mailing Address - Fax:530-894-0285
Practice Address - Street 1:1430 ESPLANADE
Practice Address - Street 2:SUITE 8
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-3366
Practice Address - Country:US
Practice Address - Phone:530-894-0221
Practice Address - Fax:530-894-0285
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-04
Last Update Date:2007-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT10135225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAR24464Medicare UPIN
CAOPT101350Medicare PIN