Provider Demographics
NPI:1073949053
Name:VALERIO, BRANDI MARIE (ATC)
Entity Type:Individual
Prefix:
First Name:BRANDI
Middle Name:MARIE
Last Name:VALERIO
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:412 WILBUR ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH FORK
Mailing Address - State:PA
Mailing Address - Zip Code:15956-1337
Mailing Address - Country:US
Mailing Address - Phone:412-952-3831
Mailing Address - Fax:
Practice Address - Street 1:2311 MYERS LN
Practice Address - Street 2:
Practice Address - City:NORTH HUNTINGDON
Practice Address - State:PA
Practice Address - Zip Code:15642
Practice Address - Country:US
Practice Address - Phone:412-952-3831
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-23
Last Update Date:2018-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA20000145512255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer