Doctor Name: | MRS. KRISTIN A VALDES |
NPI Number: | 1013033570 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CHT |
License Number: | OT863 |
Business Practice Address: | 744 The Rialto Venice, FL - 342853524 |
Business Phone Number: | 9414845500 |
Business Fax Number: | 9414845510 |
Mailing Address: | 39 Shoreland Dr, OSPREY |
State: | FL |
Postal Code: | 342299644 |
Phone Number: | 9419667313 |
Fax Number: | 9414845510 |
NPI Enumeration Date: | 03/22/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225XH1200X |
License Number: | OT863 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Occupational Therapist |
Taxonomy Specialization: | Hand |
Taxonomy Definition: |