| NPI | 1073094546 |
|---|---|
| Former Name | TINA VALENZUELA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1349645) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 33871) |
| 225100000X Physical Therapist (Licence: FL PT33871) | |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2021-10-18 |