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NPI Code Detail

MEDICARE: GABRIELLE VALCO OTR/L

MEDICARE: GABRIELLE VALCO 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 TherapistOT009645OH

General Provider Information

NPI Number : 1922514702
Entity Type Code : Individual
Provider Name (Legal Business Name) : GABRIELLE VALCO OTR/L
Provider Business Mailing Address
First Line : 1580 REMINGTON DR
Second Line :
City : WESTLAKE
State : OH
Zip : 44145-2146
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 33355 HEALTH CAMPUS BLVD
Second Line :
City : AVON
State : OH
Zip : 44011-1399
Country : US
Telephone Number : 440-937-9099
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2017
Last Update Date : 12/16/2017

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Directions to “ GABRIELLE VALCO OTR/L” Practice Location

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