Individual
MRS. MALODY MALENDA VALENTINE-HOLLIMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR-L
Contact information
Practice address
4405 EVANS TO LOCKS RD, EVANS, GA 30809-3603
(706) 854-1598
(706) 854-8136
Mailing address
PO BOX 1931, AUGUSTA, GA 30903-1931
(706) 829-6175
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
002383
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00938165A
—
GA
Enumeration date
11/22/2006
Last updated
07/08/2007
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