Provider Demographics
NPI:1013465004
Name:VALENTI, DANIEL (LAT, ATC)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:
Last Name:VALENTI
Suffix:
Gender:M
Credentials:LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:244 LAUREL AVE
Mailing Address - Street 2:
Mailing Address - City:HAZLET TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:07734-3020
Mailing Address - Country:US
Mailing Address - Phone:908-601-2627
Mailing Address - Fax:
Practice Address - Street 1:244 LAUREL AVE
Practice Address - Street 2:
Practice Address - City:HAZLET TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:07734-3020
Practice Address - Country:US
Practice Address - Phone:908-601-2627
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-19
Last Update Date:2016-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MT001709002255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer