Healthcare Provider Details

I. General information

NPI: 1831583889
Provider Name (Legal Business Name): ERIN VALEICH OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/26/2015
Last Update Date: 10/31/2025
Certification Date: 10/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14557 US-19 SUITE C, GRIFFIN, GA 30224
GRIFFIN GA
30224
US

IV. Provider business mailing address

206 PINE ST
ZEBULON GA
30295-3326
US

V. Phone/Fax

Practice location:
  • Phone: 770-468-6941
  • Fax:
Mailing address:
  • Phone: 201-787-0311
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number46TR00399900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: