Individual
GLADYS MARIBEL VALENZUELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2403 BATTLEFIELD PKWY, FORT OGLETHORPE, GA 30742-4033
(706) 866-7700
Mailing address
66 MOHAWK TRL, RINGGOLD, GA 30736-6828
(706) 937-7623
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
12398
FL
225X00000X
Occupational Therapist
1980
TN
225X00000X
Occupational Therapist
Primary
2272
GA
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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