Provider Demographics
NPI:1750894283
Name:VALENZA, ALEXANDRIA GRAY (LAC, LMT)
Entity type:Individual
Prefix:
First Name:ALEXANDRIA
Middle Name:GRAY
Last Name:VALENZA
Suffix:
Gender:F
Credentials:LAC, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4312 BLOWING POINT PL
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-5300
Mailing Address - Country:US
Mailing Address - Phone:516-587-0215
Mailing Address - Fax:516-797-5061
Practice Address - Street 1:4312 BLOWING POINT PL
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-5300
Practice Address - Country:US
Practice Address - Phone:516-587-0215
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-06
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006798171100000X
NY030025225700000X
FLMA93067225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No171100000XOther Service ProvidersAcupuncturist