Provider Demographics
NPI:1891075255
Name:VALONES, ABIGAILE (DPT)
Entity Type:Individual
Prefix:
First Name:ABIGAILE
Middle Name:
Last Name:VALONES
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:ABIGAILE
Other - Middle Name:
Other - Last Name:CABALFIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:259 HARMONY RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07748-1220
Mailing Address - Country:US
Mailing Address - Phone:732-735-2664
Mailing Address - Fax:
Practice Address - Street 1:2373 HIGHWAY 36
Practice Address - Street 2:
Practice Address - City:ATLANTIC HIGHLANDS
Practice Address - State:NJ
Practice Address - Zip Code:07716-2560
Practice Address - Country:US
Practice Address - Phone:732-872-6595
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-17
Last Update Date:2021-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY033886-1225100000X
NJ40QA01852500225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ4WFH1Medicare PIN