Individual
BENJAMIN J VALASEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1 NOLTE DR, KITTANNING, PA 16201-7111
(724) 543-8880
(724) 543-8788
Mailing address
PO BOX 579, KITTANNING, PA 16201-0579
(724) 543-8880
(724) 543-8788
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT011629L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT011629L
PA STATE LICENSE NUMBER
PA
Enumeration date
02/15/2007
Last updated
07/08/2007
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