Provider Demographics
NPI:1104076025
Name:HARRAH, VALERIE DOTY (RPT)
Entity type:Individual
Prefix:MS
First Name:VALERIE
Middle Name:DOTY
Last Name:HARRAH
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8286 129TH LN
Mailing Address - Street 2:
Mailing Address - City:SEMINOLE
Mailing Address - State:FL
Mailing Address - Zip Code:33776-3201
Mailing Address - Country:US
Mailing Address - Phone:727-320-8510
Mailing Address - Fax:
Practice Address - Street 1:8286 129TH LN
Practice Address - Street 2:
Practice Address - City:SEMINOLE
Practice Address - State:FL
Practice Address - Zip Code:33776-3201
Practice Address - Country:US
Practice Address - Phone:727-320-8510
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-28
Last Update Date:2012-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL6841225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist