Provider Demographics
NPI:1134260292
Name:EDMANDS, VALERIE (OTR)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:
Last Name:EDMANDS
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 1:19901 NW 239TH PL
Mailing Address - Street 2:
Mailing Address - City:HIGH SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32643-7016
Mailing Address - Country:US
Mailing Address - Phone:352-256-5581
Mailing Address - Fax:386-454-1383
Practice Address - Street 1:19901 NW 239TH PL
Practice Address - Street 2:
Practice Address - City:HIGH SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32643-7016
Practice Address - Country:US
Practice Address - Phone:352-256-5581
Practice Address - Fax:386-454-1383
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT1226225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist