Individual
TIM VALENTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
201 THORNBERRY BRANCH LN, DAYTONA BEACH, FL 32124-3652
(386) 310-4275
Mailing address
201 THORNBERRY BRANCH LN, DAYTONA BEACH, FL 32124-3652
(386) 310-4275
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA25445
FL
Other
Enumeration date
02/08/2019
Last updated
02/08/2019
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