Provider Demographics
NPI:1194061234
Name:VALVO, LEAH M (PT)
Entity type:Individual
Prefix:
First Name:LEAH
Middle Name:M
Last Name:VALVO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:LEAH
Other - Middle Name:M
Other - Last Name:CRIVELLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1331 E VICTOR RD
Mailing Address - Street 2:
Mailing Address - City:VICTOR
Mailing Address - State:NY
Mailing Address - Zip Code:14564-9306
Mailing Address - Country:US
Mailing Address - Phone:585-742-8270
Mailing Address - Fax:585-742-8272
Practice Address - Street 1:1331 E VICTOR RD
Practice Address - Street 2:
Practice Address - City:VICTOR
Practice Address - State:NY
Practice Address - Zip Code:14564-9306
Practice Address - Country:US
Practice Address - Phone:585-742-8270
Practice Address - Fax:585-742-8272
Is Sole Proprietor?:No
Enumeration Date:2012-12-18
Last Update Date:2022-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020838-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist