MEDICARE: SHARON VALERIO PT

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	2251P0200X	Pediatric Physical Therapist	3547	CT

General Provider Information

NPI Number	:	1780218032
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARON VALERIO PT

Provider Business Mailing Address
First Line	:	46 ROXBURY CT
Second Line	:
City	:	CHESHIRE
State	:	CT
Zip	:	06410-1511
Country	:	US
Telephone Number	:	203-271-3288
Fax Number	:	203-591-1936

Provider Business Practice Location Address
First Line	:	1389 W MAIN ST STE 225
Second Line	:
City	:	WATERBURY
State	:	CT
Zip	:	06708-3115
Country	:	US
Telephone Number	:	203-271-3288
Fax Number	:	203-591-1936

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

Provider Enumeration Date	:	02/25/2020
Last Update Date	:	02/25/2020

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Directions to “ SHARON VALERIO PT” Practice Location

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