Basic Information
| Provider Information | |||||||||
| NPI: | 1033163225 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | RAMSDELL | ||||||||
| FirstName: | VALORY | ||||||||
| MiddleName: | J | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | PT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 31 OLD ROUTE 7 | ||||||||
| Address2: | CREDENTIALING DEPT | ||||||||
| City: | BROOKFIELD | ||||||||
| State: | CT | ||||||||
| PostalCode: | 068041714 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2037400020 | ||||||||
| FaxNumber: | 2037750238 | ||||||||
| Practice Location | |||||||||
| Address1: | 20 GERMANTOWN RD | ||||||||
| Address2: | SUITE 102 | ||||||||
| City: | DANBURY | ||||||||
| State: | CT | ||||||||
| PostalCode: | 068105023 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2037784773 | ||||||||
| FaxNumber: | 2037784774 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/20/2006 | ||||||||
| LastUpdateDate: | 10/29/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 001662 | CT | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
ID Information
| ID | Type | State | Issuer | Description | 004034724 | 05 | CT | MEDICAID |