Provider Demographics
NPI:1255456331
Name:VALENTINO, FIORITA (LAC, LMT, RYT, RM-T)
Entity type:Individual
Prefix:
First Name:FIORITA
Middle Name:
Last Name:VALENTINO
Suffix:
Gender:F
Credentials:LAC, LMT, RYT, RM-T
Other - Prefix:
Other - First Name:RITA
Other - Middle Name:
Other - Last Name:VALENTINO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:365 MACON DR
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06606-1209
Mailing Address - Country:US
Mailing Address - Phone:203-512-2082
Mailing Address - Fax:475-282-4168
Practice Address - Street 1:246 FEDERAL RD
Practice Address - Street 2:
Practice Address - City:BROOKFIELD
Practice Address - State:CT
Practice Address - Zip Code:06804-2647
Practice Address - Country:US
Practice Address - Phone:203-512-2082
Practice Address - Fax:475-282-4168
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2016-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000345171100000X
NY003049171100000X
CT004388225700000X
NY015327225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist