Provider Demographics
NPI:1407652191
Name:MYERS, VALIN CAMILLE (COTA/L)
Entity type:Individual
Prefix:
First Name:VALIN
Middle Name:CAMILLE
Last Name:MYERS
Suffix:
Gender:
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:272 SONOMA DR
Mailing Address - Street 2:
Mailing Address - City:DELAWARE
Mailing Address - State:OH
Mailing Address - Zip Code:43015-9151
Mailing Address - Country:US
Mailing Address - Phone:740-815-7476
Mailing Address - Fax:
Practice Address - Street 1:8875 GREEN MEADOWS DR N
Practice Address - Street 2:
Practice Address - City:LEWIS CENTER
Practice Address - State:OH
Practice Address - Zip Code:43035-9447
Practice Address - Country:US
Practice Address - Phone:740-807-2858
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-22
Last Update Date:2025-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH06345224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant