Individual
MARY KATHERINE VALENZUELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1538 E WARNER AVE, SUITE A, SANTA ANA, CA 92705-5476
(714) 434-4773
Mailing address
15961 GARNET ST, WESTMINSTER, CA 92683-7236
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT8710
CA
Other
Enumeration date
09/28/2010
Last updated
09/28/2010
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