Provider Demographics
NPI:1013303635
Name:OZANNE, VALERIE (OTR)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:
Last Name:OZANNE
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 E GRANITE ST
Mailing Address - Street 2:
Mailing Address - City:LLANO
Mailing Address - State:TX
Mailing Address - Zip Code:78643-3006
Mailing Address - Country:US
Mailing Address - Phone:830-613-9341
Mailing Address - Fax:
Practice Address - Street 1:302 E GRANITE ST
Practice Address - Street 2:
Practice Address - City:LLANO
Practice Address - State:TX
Practice Address - Zip Code:78643-3006
Practice Address - Country:US
Practice Address - Phone:830-613-9341
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-09
Last Update Date:2015-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX105457225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist