Provider Demographics
NPI:1538657747
Name:VALERA, ELIZABETH JASMINE (OTD, OTR)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:JASMINE
Last Name:VALERA
Suffix:
Gender:F
Credentials:OTD, OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:698 BASILICA BAY DR APT 8204
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-4998
Mailing Address - Country:US
Mailing Address - Phone:832-788-2317
Mailing Address - Fax:
Practice Address - Street 1:698 BASILICA BAY DR APT 8204
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77386-4998
Practice Address - Country:US
Practice Address - Phone:832-788-2317
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-24
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX121992225XP0200X, 225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics