IndividualActive
Liana Valla
NPI 1366967283 · Gerontology Occupational Therapist · St Augustine, FL
Provider details
- NPI number
- 1366967283
- Entity type
- Individual
- Primary specialty
- Gerontology Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 8444 (FL)
Practice location
4650 State Road 16
St Augustine, FL 32092-0600
Phone: (904) 940-2193
Mailing address
1199 San Jose Forest Dr
St Augustine, FL 32080-5412
Registry dates
- Enumerated
- 2017-08-11
- Last updated
- 2017-08-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.