Individual
EDITH VALENZUELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11335 SSG SIMS ST, FORT BLISS, TX 79918-8033
(915) 742-1321
Mailing address
11335 SSG SIMS ST, FORT BLISS, TX 79918-8033
(915) 742-1321
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2081800
TX
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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