Healthcare Provider Details
I. General information
NPI: 1356466320
Provider Name (Legal Business Name): SHARON VALENTON MA, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 03/20/2007
Last Update Date: 05/20/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
50 E FOOTHILL BLVD STE. 100
ARCADIA CA
91006-2314
US
IV. Provider business mailing address
50 E FOOTHILL BLVD STE. 100
ARCADIA CA
91006-2314
US
V. Phone/Fax
- Phone: 626-445-2400
- Fax:
- Phone: 626-445-2400
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225X00000X |
| Taxonomy | Occupational Therapist |
| License Number | 014179 DUP |
| License Number State | NY |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225XP0200X |
| Taxonomy | Pediatric Occupational Therapist |
| License Number | OT5575 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: