Provider Demographics
NPI:1407260656
Name:VALVERDE, GRACE MARIA (OTR/L)
Entity type:Individual
Prefix:
First Name:GRACE
Middle Name:MARIA
Last Name:VALVERDE
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 TOWERING OAKS DR
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22405-8732
Mailing Address - Country:US
Mailing Address - Phone:973-566-4738
Mailing Address - Fax:
Practice Address - Street 1:2239 TACKETTS MILL DR STE K
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22192-3026
Practice Address - Country:US
Practice Address - Phone:703-491-1044
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-16
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119006141225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics