Provider Demographics
NPI:1396906012
Name:BELEN, INES B (MS, PT, CLT)
Entity type:Individual
Prefix:MS
First Name:INES
Middle Name:B
Last Name:BELEN
Suffix:
Gender:F
Credentials:MS, PT, CLT
Other - Prefix:MS
Other - First Name:INES
Other - Middle Name:B
Other - Last Name:BELEN VALENTIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT
Mailing Address - Street 1:14037 FAIRWAY ISLAND DR
Mailing Address - Street 2:APT 215
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32837-5234
Mailing Address - Country:US
Mailing Address - Phone:787-239-5081
Mailing Address - Fax:
Practice Address - Street 1:9311 S ORANGE BLOSSOM TRL
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32837-8301
Practice Address - Country:US
Practice Address - Phone:407-858-0455
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-25
Last Update Date:2012-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL21869225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist