Liana Raschke Valla
Occupational Therapist - Gerontology
4650 State Road 16
St Augustine
, Florida 32092-0600
Liana Raschke Valla
Occupational Therapist - Gerontology
4650 State Road 16
St Augustine
, Florida 32092-0600
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About
Features
Specialties
- Occupational Therapist - Gerontology
Languages spoken
- English
Location
First Address
- Liana Raschke Valla
- 1199 San Jose Forest Dr
- St Augustine, FL
- Zip : 32080-5412
- Phone :
Second Address
- Liana Raschke Valla
- 4650 State Road 16
- St Augustine, FL
- Zip : 32092-0600
- Phone : (904) 940-2193
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XG0600X | Occupational Therapist - Gerontology | 8444 | FL |
National Provider Identifier
| NPI | 1366967283 |
|---|---|
| Provider Name | Liana Raschke Valla |
| First Address | St Augustine, FL 32080-5412 |
| Second Address | St Augustine, FL 32092-0600 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/08/2017 |
| Last Update Date | 11/08/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.