| NPI | 1952511610 |
|---|---|
| Other Name | FRED JOSEPH VALENZUELA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT 3454) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 5002) |
| 225100000X Physical Therapist (Licence: UT 5896880-2401) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2007-07-08 |