Healthcare Provider Details

I. General information

NPI: 1790852929
Provider Name (Legal Business Name): VALARIE ELAINE HOBBS OTRL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/30/2006
Last Update Date: 09/03/2025
Certification Date: 09/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 ELLIS DR
LOUISA VA
23093-5732
US

IV. Provider business mailing address

175 ELLIS DR
LOUISA VA
23093-5732
US

V. Phone/Fax

Practice location:
  • Phone: 814-706-8910
  • Fax:
Mailing address:
  • Phone: 814-706-8910
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number0119002176
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: