Provider Demographics
NPI:1255731170
Name:VALCIN-BROWN, DALIA (ATC)
Entity type:Individual
Prefix:
First Name:DALIA
Middle Name:
Last Name:VALCIN-BROWN
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1050 SOUTHERN DR
Mailing Address - Street 2:APT 1107A
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29201-5627
Mailing Address - Country:US
Mailing Address - Phone:248-229-9668
Mailing Address - Fax:
Practice Address - Street 1:1050 SOUTHERN DR
Practice Address - Street 2:APT 1107A
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29201
Practice Address - Country:US
Practice Address - Phone:248-229-9668
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-28
Last Update Date:2018-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer