Provider Demographics
NPI:1215227731
Name:VALENTI, ROBERT JOHN (DPT)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:JOHN
Last Name:VALENTI
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 CHURCH ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:BOUND BROOK
Mailing Address - State:NJ
Mailing Address - Zip Code:08805-1743
Mailing Address - Country:US
Mailing Address - Phone:732-469-6160
Mailing Address - Fax:732-469-6436
Practice Address - Street 1:515 CHURCH ST
Practice Address - Street 2:SUITE 2
Practice Address - City:BOUND BROOK
Practice Address - State:NJ
Practice Address - Zip Code:08805-1743
Practice Address - Country:US
Practice Address - Phone:732-469-2131
Practice Address - Fax:732-469-2178
Is Sole Proprietor?:No
Enumeration Date:2011-04-18
Last Update Date:2011-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01383300225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist