Individual
KAMILLE RAE VALENCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2011 BROADWAY ST, PEARLAND, TX 77581-5797
(281) 997-8509
Mailing address
23202 WOODLAWN RDG, SAN ANTONIO, TX 78259-2262
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
217897
TX
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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