Valentine-Holliman, Malody Malenda
Valentine-Holliman, Malody Malenda is an individual health care provider with primary practice located at 4405 Evans To Locks Rd , Evans GA 30809-3603. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Valentine-Holliman, Malody Malenda can be contacted via phone (706) 854-1598.Contact Information
Primary practice address
4405 Evans To Locks Rd
Evans GA 30809-3603
Phone: (706) 854-1598
Fax: (706) 854-8136
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 002383 | Georgia |
Profile Details
| NPI number | 1710052667 |
|---|---|
| LBN Legal business name | Valentine-Holliman, Malody Malenda |
| Credentials | OTR-L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 22nd, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710052667 | NPPES |
| Georgia | MEDICAID | 00938165A |
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