| Liana Raschke Valla, | |
|
4650 State Road 16, St Augustine, FL 32092-0600 | |
| (904) 940-2193 | |
| Not Available |
| Full Name | Liana Raschke Valla |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist - Gerontology |
| Location | 4650 State Road 16, St Augustine, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366967283 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XG0600X | Occupational Therapist - Gerontology | 8444 (Florida) | Primary |
| Provider Name | Vital Yoga Therapeutics Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1376162289 PECOS PAC ID: 0547691842 Enrollment ID: O20200520000849 |
| Mailing Address | Practice Location Address |
|---|---|
| Liana Raschke Valla, 1199 San Jose Forest Dr, St Augustine, FL 32080-5412 Ph: () - | Liana Raschke Valla, 4650 State Road 16, St Augustine, FL 32092-0600 Ph: (904) 940-2193 |
Kayla Collins, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1 University Blvd, St Augustine, FL 32086 Phone: 904-826-0084 | |
Lora Danielle Hebbler, OT/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6 Barcelona Ave, St Augustine, FL 32080 Phone: 904-344-5210 | |
Christina Marie Tipple Phillips, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1690 Us Highway 1 S Ste A, St Augustine, FL 32084 Phone: 904-810-2101 | |
Margaret E. Bliss, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 150 Mariner Health Way, St Augustine, FL 32086 Phone: 904-794-9988 Fax: 904-794-0898 | |
Laura Moerman, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 820 Riley Ln, St Augustine, FL 32095 Phone: 904-575-1750 | |
Carla Kimps, OTR LCHT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Orthopaedic Pl, St Augustine, FL 32086 Phone: 904-825-0540 Fax: 904-825-0351 | |
Rebecca Rose Bulen Tuttle, OTR/L, PT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 University Blvd, St Augustine, FL 32086 Phone: 904-829-3411 Fax: 904-829-3412 |