MEDICARE: MRS. KERRI LYNN VALENTINE M.S. OTR/L

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	225XP0200X	Pediatric Occupational Therapist	OC011408	PA

General Provider Information

NPI Number	:	1922326214
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KERRI LYNN VALENTINE M.S. OTR/L

Provider Business Mailing Address
First Line	:	8 SOMERSTON RD
Second Line	:
City	:	YORKTOWN HEIGHTS
State	:	NY
Zip	:	10598-2216
Country	:	US
Telephone Number	:	267-408-6753
Fax Number	:

Provider Business Practice Location Address
First Line	:	8 SOMERSTON RD
Second Line	:
City	:	YORKTOWN HEIGHTS
State	:	NY
Zip	:	10598-2216
Country	:	US
Telephone Number	:	267-408-6753
Fax Number	:

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

Provider Enumeration Date	:	05/11/2010
Last Update Date	:	08/30/2023

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