Provider Demographics
NPI:1487763744
Name:GOHIL, VALERIE LYNN (DPT)
Entity type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:LYNN
Last Name:GOHIL
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MRS
Other - First Name:VALERIE
Other - Middle Name:LYNN
Other - Last Name:WETZEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:951 N WASHINGTON AVE BLDG 4
Mailing Address - Street 2:
Mailing Address - City:TITUSVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32796-2194
Mailing Address - Country:US
Mailing Address - Phone:321-268-6111
Mailing Address - Fax:
Practice Address - Street 1:951 N WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:TITUSVILLE
Practice Address - State:FL
Practice Address - Zip Code:32796-2163
Practice Address - Country:US
Practice Address - Phone:321-268-6111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPT22269OtherLICENSE #