Individual
KRISTA CHANEL VALDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7206 NORTHERN BLVD FL 2, JACKSON HEIGHTS, NY 11372-1049
(516) 849-6670
Mailing address
7206 NORTHERN BLVD FL 2, JACKSON HEIGHTS, NY 11372-1049
(516) 849-6670
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
013328
NY
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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