Provider Demographics
NPI:1750809596
Name:VALENTINE, BRITTANY ANN (PTA)
Entity type:Individual
Prefix:MS
First Name:BRITTANY
Middle Name:ANN
Last Name:VALENTINE
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10294 158TH ST N
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33478-9337
Mailing Address - Country:US
Mailing Address - Phone:561-779-1693
Mailing Address - Fax:
Practice Address - Street 1:4362 NORTHLAKE BLVD STE 105
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-6270
Practice Address - Country:US
Practice Address - Phone:561-625-6860
Practice Address - Fax:561-625-6859
Is Sole Proprietor?:No
Enumeration Date:2017-08-31
Last Update Date:2017-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL27842225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant