MEDICARE: CAITLIN ROSE VALENTINE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	OT010092	OH

General Provider Information

NPI Number	:	1316414048
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAITLIN ROSE VALENTINE

Provider Business Mailing Address
First Line	:	15966 PARKLAWN AVE
Second Line	:
City	:	MIDDLEBURG HEIGHTS
State	:	OH
Zip	:	44130-5454
Country	:	US
Telephone Number	:	440-409-5624
Fax Number	:

Provider Business Practice Location Address
First Line	:	3213 MONTCLAIR AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44109-4121
Country	:	US
Telephone Number	:	440-409-5624
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/31/2018
Last Update Date	:	01/31/2020

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Directions to “ CAITLIN ROSE VALENTINE ” Practice Location

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