Provider Demographics
NPI:1801072509
Name:TRENT, VALERIE RAYNE (OT)
Entity type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:RAYNE
Last Name:TRENT
Suffix:
Gender:F
Credentials:OT
Other - Prefix:MS
Other - First Name:VALERIE
Other - Middle Name:RAYNE
Other - Last Name:ROUNKLES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:715 SW 148TH AVE APT 611
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33325-3083
Mailing Address - Country:US
Mailing Address - Phone:726-209-3314
Mailing Address - Fax:
Practice Address - Street 1:5651 DAVIE RD STE B
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33314-7121
Practice Address - Country:US
Practice Address - Phone:954-454-3445
Practice Address - Fax:954-454-0029
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-14
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX111975225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist