Provider Demographics
NPI:1811149032
Name:OLDHAM, VALERIE LYNN (OTR/L)
Entity type:Individual
Prefix:MS
First Name:VALERIE
Middle Name:LYNN
Last Name:OLDHAM
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 CASE ST
Mailing Address - Street 2:
Mailing Address - City:RUMFORD
Mailing Address - State:RI
Mailing Address - Zip Code:02916-1803
Mailing Address - Country:US
Mailing Address - Phone:401-241-1102
Mailing Address - Fax:
Practice Address - Street 1:69 RUSSELL AVE
Practice Address - Street 2:
Practice Address - City:EAST PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02914-3518
Practice Address - Country:US
Practice Address - Phone:401-241-1102
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-21
Last Update Date:2012-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist