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NPI Code Detail

MEDICARE: LATRICIA DENISE VALENTINE OT

MEDICARE: LATRICIA DENISE VALENTINE OT
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
1225X00000XOccupational TherapistOT19214FL

General Provider Information

NPI Number : 1831688506
Entity Type Code : Individual
Provider Name (Legal Business Name) : LATRICIA DENISE VALENTINE OT
Provider Business Mailing Address
First Line : 561 LAFAYETTE ST SW
Second Line :
City : PALM BAY
State : FL
Zip : 32908-1248
Country : US
Telephone Number : 321-508-7787
Fax Number :
Provider Business Practice Location Address
First Line : 4150 INDIAN RIVER BLVD
Second Line :
City : VERO BEACH
State : FL
Zip : 32967-7224
Country : US
Telephone Number : 772-254-4618
Fax Number : 772-252-4693
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2018
Last Update Date : 11/05/2023

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Directions to “ LATRICIA DENISE VALENTINE OT” Practice Location

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