Provider Demographics
NPI:1790285807
Name:GROOVER, VALERIE R (COTA/L)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:R
Last Name:GROOVER
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:VALERIE
Other - Middle Name:R
Other - Last Name:ORR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:COTA/L
Mailing Address - Street 1:442 SUNFLOWER RD
Mailing Address - Street 2:
Mailing Address - City:WAKEFIELD
Mailing Address - State:KS
Mailing Address - Zip Code:67487-9292
Mailing Address - Country:US
Mailing Address - Phone:785-307-1968
Mailing Address - Fax:
Practice Address - Street 1:442 SUNFLOWER RD
Practice Address - Street 2:
Practice Address - City:WAKEFIELD
Practice Address - State:KS
Practice Address - Zip Code:67487-9292
Practice Address - Country:US
Practice Address - Phone:785-307-1968
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-15
Last Update Date:2018-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantGroup - Single Specialty