Individual
MYRANDA DEVYN VALENZUELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1800 BROADWAY ST APT 2015, SAN ANTONIO, TX 78215-1298
(210) 238-6413
Mailing address
1800 BROADWAY ST APT 2105, SAN ANTONIO, TX 78215-1345
(210) 238-6413
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2164918
TX
Other
Enumeration date
04/18/2022
Last updated
04/18/2022
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