| NPI | 1578174249 |
|---|---|
| Former Name | ANDREA VALDEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 298844) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305214213) |
| Enumeration Date | 2020-08-14 |
| Last Update Date | 2022-02-02 |