Individual
MOISES SANTIAGO VALENTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT - DPT
Contact information
Practice address
212 JASMINE CIR, ENTERPRISE, AL 36330-1794
(334) 406-6629
Mailing address
212 JASMINE CIR, ENTERPRISE, AL 36330-1794
(334) 406-6629
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH7961
AL
Other
Enumeration date
04/27/2020
Last updated
04/27/2020
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