Provider Demographics
NPI:1093842403
Name:VALENTI, PEJAI JO (PT)
Entity type:Individual
Prefix:
First Name:PEJAI
Middle Name:JO
Last Name:VALENTI
Suffix:
Gender:F
Credentials:PT
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Other - First Name:
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Mailing Address - Street 1:1325 SAN MARCO BLVD
Mailing Address - Street 2:SUITE 701
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32207-8568
Mailing Address - Country:US
Mailing Address - Phone:904-858-6418
Mailing Address - Fax:904-858-6490
Practice Address - Street 1:7740 POINT MEADOWS DR
Practice Address - Street 2:SUITES 1&2
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-9179
Practice Address - Country:US
Practice Address - Phone:904-564-9594
Practice Address - Fax:904-564-9687
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2007-07-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLPT23231225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist