Provider Demographics
NPI:1265771745
Name:CASTELLANO, VALERIE ANN (COTA/L)
Entity type:Individual
Prefix:MS
First Name:VALERIE
Middle Name:ANN
Last Name:CASTELLANO
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1002 ROSELAND RD
Mailing Address - Street 2:
Mailing Address - City:SEBASTIAN
Mailing Address - State:FL
Mailing Address - Zip Code:32958-8218
Mailing Address - Country:US
Mailing Address - Phone:772-581-9424
Mailing Address - Fax:772-778-1493
Practice Address - Street 1:1002 ROSELAND RD
Practice Address - Street 2:
Practice Address - City:SEBASTIAN
Practice Address - State:FL
Practice Address - Zip Code:32958-8218
Practice Address - Country:US
Practice Address - Phone:772-581-9424
Practice Address - Fax:772-778-1493
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-04
Last Update Date:2013-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOTA 10281224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant