Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OC009847 | PA |
N | 225XP0200X | Occupational Therapist - Pediatrics | OC009847 | PA |
NPI | 1013267517 |
---|---|
Provider Name | Jennifer A Valenti |
First Address | Orwigsburg, PA 17961 |
Second Address | Orwigsburg, PA 17961 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/09/2012 |
Last Update Date | 12/09/2012 |