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NPI Code Detail

MEDICARE: CHARLENE VALENTINE OTR/L

MEDICARE: CHARLENE VALENTINE OTR/L
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 Therapist11497TX

General Provider Information

NPI Number : 1376941609
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLENE VALENTINE OTR/L
Provider Business Mailing Address
First Line : 800 FALLS CREEK CT
Second Line :
City : BURLESON
State : TX
Zip : 76028-7665
Country : US
Telephone Number : 817-888-2973
Fax Number :
Provider Business Practice Location Address
First Line : 5801 BRYANT IRVIN RD
Second Line :
City : FT WORTH
State : TX
Zip : 76132-4209
Country : US
Telephone Number : 817-346-3030
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2014
Last Update Date : 12/18/2014

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Directions to “ CHARLENE VALENTINE OTR/L” Practice Location

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