| Vital Yoga Therapeutics, Llc | |
|
2225 A1a S Ste B1, Saint Augustine, FL 32080-7906 | |
| (904) 874-5152 | |
| Not Available |
| Full Name | Vital Yoga Therapeutics, Llc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist - Neurorehabilitation |
| Location | 2225 A1a S Ste B1, Saint Augustine, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376162289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XN1300X | Occupational Therapist - Neurorehabilitation | (* (Not Available)) | Primary |
| Provider Name | Liana R Valla |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366967283 PECOS PAC ID: 1456782762 Enrollment ID: I20200520001019 |
| Mailing Address | Practice Location Address |
|---|---|
| Vital Yoga Therapeutics, Llc 1199 San Jose Forest Dr, Saint Augustine, FL 32080-5412 Ph: (904) 874-5152 | Vital Yoga Therapeutics, Llc 2225 A1a S Ste B1, Saint Augustine, FL 32080-7906 Ph: (904) 874-5152 |
Dr. Jacqueline Grace Kettler, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 150 Village Crossing Ct, Saint Augustine, FL 32084 Phone: 502-694-5241 | |
Home In Mind Llc Occupational Therapist Medicare: Medicare Enrolled Practice Location: 195 Whitland Way, Saint Augustine, FL 32086 Phone: 440-787-6985 | |
Womens Integrative Healing Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5218 River Park Villas Dr, Saint Augustine, FL 32092 Phone: 256-364-9098 | |
Cynthia K Mathena, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 105 Southpark Blvd, Suite B201, Saint Augustine, FL 32086 Phone: 904-824-1636 Fax: 904-824-7488 | |
Kathryn Klein, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 908 White Eagle Cir, Saint Augustine, FL 32086 Phone: 904-315-5232 | |
Jana Sanford-heller, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 150 Southpark Blvd Ste 202, Saint Augustine, FL 32086 Phone: 352-256-0658 | |
Karen Corney-maneely, MS OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 39 Ocean Dr, Saint Augustine, FL 32080 Phone: 904-461-9136 |