Provider Demographics
NPI:1194969840
Name:WATTERSON, VALERIE VASICK (PT)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:VASICK
Last Name:WATTERSON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
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Mailing Address - Street 1:9225 E TANQUE VERDE RD
Mailing Address - Street 2:#18103
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85749-8718
Mailing Address - Country:US
Mailing Address - Phone:509-607-0157
Mailing Address - Fax:520-297-6986
Practice Address - Street 1:2001 W ORANGE GROVE RD
Practice Address - Street 2:SUITE 114
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-1139
Practice Address - Country:US
Practice Address - Phone:520-297-8842
Practice Address - Fax:520-297-6986
Is Sole Proprietor?:No
Enumeration Date:2009-04-25
Last Update Date:2009-04-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ83992251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic