Provider Demographics
NPI:1265559900
Name:VALENZANO, HELLE SVAVA (COTA)
Entity type:Individual
Prefix:MS
First Name:HELLE
Middle Name:SVAVA
Last Name:VALENZANO
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:82 SANDWICH RD APT 12
Mailing Address - Street 2:
Mailing Address - City:BOURNE
Mailing Address - State:MA
Mailing Address - Zip Code:02532-3626
Mailing Address - Country:US
Mailing Address - Phone:508-274-7025
Mailing Address - Fax:
Practice Address - Street 1:82 SANDWICH RD APT 12
Practice Address - Street 2:
Practice Address - City:BOURNE
Practice Address - State:MA
Practice Address - Zip Code:02532-3626
Practice Address - Country:US
Practice Address - Phone:508-274-7025
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1891224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant