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Individual

MR. ALLAN E VALENZUELA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
7625 HAMILTON PARK DR STE 24, CHATTANOOGA, TN 37421-1188
(423) 648-7647
(423) 648-7648
Mailing address
6131 SHALLOWFORD RD STE 101, CHATTANOOGA, TN 37421-7807
(423) 648-7647
(423) 648-7648

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2178
TN
225100000X
Physical Therapist
PT010239
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3165433
BLUE CROSS BLUE SHIELD
TN
01
862316
WELLCARE
TN
05
Q009955
TN
Enumeration date
05/12/2006
Last updated
04/28/2025
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