Provider Demographics
NPI:1669621520
Name:VALOIS, ROXSAND T (PTA)
Entity type:Individual
Prefix:
First Name:ROXSAND
Middle Name:T
Last Name:VALOIS
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 RILEYS WAY
Mailing Address - Street 2:
Mailing Address - City:DARTMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02747-5112
Mailing Address - Country:US
Mailing Address - Phone:508-636-0556
Mailing Address - Fax:508-636-0556
Practice Address - Street 1:7 RILEYS WAY
Practice Address - Street 2:
Practice Address - City:DARTMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02747-5112
Practice Address - Country:US
Practice Address - Phone:508-636-0556
Practice Address - Fax:508-636-0556
Is Sole Proprietor?:No
Enumeration Date:2008-09-16
Last Update Date:2008-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2764225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant