Provider Demographics
NPI:1760343040
Name:ALICANTE, VALENTIN BACANI (OTR/L)
Entity type:Individual
Prefix:
First Name:VALENTIN
Middle Name:BACANI
Last Name:ALICANTE
Suffix:
Gender:M
Credentials:OTR/L
Other - Prefix:
Other - First Name:ERIK
Other - Middle Name:VALENTIN
Other - Last Name:ALICANTE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OTR/L
Mailing Address - Street 1:4550 LINCOLN AVE UNIT 214
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:CA
Mailing Address - Zip Code:90630-2645
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3680 E IMPERIAL HWY STE 305
Practice Address - Street 2:
Practice Address - City:LYNWOOD
Practice Address - State:CA
Practice Address - Zip Code:90262-2659
Practice Address - Country:US
Practice Address - Phone:310-220-6108
Practice Address - Fax:310-220-6109
Is Sole Proprietor?:No
Enumeration Date:2025-11-18
Last Update Date:2025-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA26501225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist