Provider Demographics
NPI:1629251491
Name:VALENA, BENJAMIN VALER (CPED, CF-O)
Entity Type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:VALER
Last Name:VALENA
Suffix:
Gender:M
Credentials:CPED, CF-O
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3783 PRESIDENTIAL PKWY
Mailing Address - Street 2:STE 112
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30340-3709
Mailing Address - Country:US
Mailing Address - Phone:404-771-2051
Mailing Address - Fax:866-607-2512
Practice Address - Street 1:3783 PRESIDENTIAL PKWY
Practice Address - Street 2:STE 112
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30340-3709
Practice Address - Country:US
Practice Address - Phone:404-771-2051
Practice Address - Fax:866-607-2512
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-14
Last Update Date:2015-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist