Healthcare Provider Details

I. General information

NPI: 1134034903
Provider Name (Legal Business Name): ANNE VALERA
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11835 11TH AVE
HANFORD CA
93230
US

IV. Provider business mailing address

3322 W STEWART AVE
VISALIA CA
93291-9747
US

V. Phone/Fax

Practice location:
  • Phone: 559-589-2650
  • Fax:
Mailing address:
  • Phone: 419-367-2174
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number12488
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: