Provider Demographics
NPI:1215122270
Name:FORREST, VALERIE J (PT, DPT)
Entity type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:J
Last Name:FORREST
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3333 SPINGHILL DR.
Mailing Address - Street 2:
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72117
Mailing Address - Country:US
Mailing Address - Phone:501-202-3442
Mailing Address - Fax:501-202-3559
Practice Address - Street 1:3333 SPINGHILL DR.
Practice Address - Street 2:
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72117
Practice Address - Country:US
Practice Address - Phone:501-202-3442
Practice Address - Fax:501-202-3559
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-12
Last Update Date:2010-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPT 3020225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist