Provider Demographics
NPI:1912517699
Name:CALDERON, VALERIE ROSE (ATC)
Entity Type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:ROSE
Last Name:CALDERON
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 1:37845 LOWESWATER ST
Mailing Address - Street 2:
Mailing Address - City:INDIO
Mailing Address - State:CA
Mailing Address - Zip Code:92203-4803
Mailing Address - Country:US
Mailing Address - Phone:909-237-2422
Mailing Address - Fax:
Practice Address - Street 1:43500 MONTEREY AVE
Practice Address - Street 2:
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92260-9305
Practice Address - Country:US
Practice Address - Phone:760-776-7311
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-06
Last Update Date:2020-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer