| NPI | 1053405639 |
|---|---|
| Former Name | ANGELA ELAINE VALDEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 2529) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: OK 2529) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-07-22 |