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NPI Code Detail

MEDICARE: ELIZABETH GRACE VALENTINE

MEDICARE: ELIZABETH GRACE VALENTINE
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
1224Z00000XOccupational Therapy Assistant345283LA

General Provider Information

NPI Number : 1740089598
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH GRACE VALENTINE
Provider Business Mailing Address
First Line : 5445 HIGHWAY 2
Second Line :
City : OAK GROVE
State : LA
Zip : 71263-8365
Country : US
Telephone Number : 318-428-4025
Fax Number :
Provider Business Practice Location Address
First Line : 5445 HIGHWAY 2
Second Line :
City : OAK GROVE
State : LA
Zip : 71263-8365
Country : US
Telephone Number : 318-428-4025
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2025
Last Update Date : 03/12/2025

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Directions to “ ELIZABETH GRACE VALENTINE ” Practice Location

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