Individual
MR. ANTONIO VALDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
2226 S MOONEY BLVD, SUITE A7, VISALIA, CA 93277
(559) 622-9119
(559) 622-9422
Mailing address
3601 N CARSON ST, VISALIA, CA 93291
(559) 739-8429
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7800
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OPT185850
—
CA
01
—
ZZZ250892
WALK ABOUT HEALTH
CA
Enumeration date
10/04/2006
Last updated
07/08/2007
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