Individual
MRS. MARLENE RENAE VALLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3946 OMEGA CIR, SARASOTA, FL 34235-6706
(941) 952-5040
Mailing address
3946 OMEGA CIR, SARASOTA, FL 34235-6706
(941) 952-5040
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 7887
FL
Other
Enumeration date
08/16/2012
Last updated
08/16/2012
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