Provider Demographics
NPI:1881081602
Name:OBERG, VALIERE
Entity type:Individual
Prefix:
First Name:VALIERE
Middle Name:
Last Name:OBERG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:VALIERE
Other - Middle Name:
Other - Last Name:PLATTNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PTA
Mailing Address - Street 1:7 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01360-1018
Mailing Address - Country:US
Mailing Address - Phone:413-498-2671
Mailing Address - Fax:
Practice Address - Street 1:61 GREENWAY
Practice Address - Street 2:
Practice Address - City:VERNON
Practice Address - State:VT
Practice Address - Zip Code:05354-9474
Practice Address - Country:US
Practice Address - Phone:802-246-1909
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-20
Last Update Date:2015-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT041.0000027225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant