Provider Demographics
NPI:1558499376
Name:VALENTINE, MONICA JEAN (OTRL)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:JEAN
Last Name:VALENTINE
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 WOODBINE DR
Mailing Address - Street 2:
Mailing Address - City:CRANBERRY TWP
Mailing Address - State:PA
Mailing Address - Zip Code:16066-3209
Mailing Address - Country:US
Mailing Address - Phone:724-779-1953
Mailing Address - Fax:724-779-1953
Practice Address - Street 1:114 SKYLINE LN
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-8762
Practice Address - Country:US
Practice Address - Phone:724-283-3198
Practice Address - Fax:724-283-5945
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOCOO5527L225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics