Healthcare Provider Details

I. General information

NPI: 1548132376
Provider Name (Legal Business Name): VALERIE LENTINE PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2025
Last Update Date: 09/22/2025
Certification Date: 09/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 BLUE RIDGE RD STE G130
RALEIGH NC
27607-6347
US

IV. Provider business mailing address

810 HANBURY WAY APT 311
RALEIGH NC
27607-6215
US

V. Phone/Fax

Practice location:
  • Phone: 919-680-1027
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: