Individual
LEILANI VALDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1991 FORDHAM DR, FAYETTEVILLE, NC 28304-3773
(910) 484-3114
Mailing address
2432 PEARSON WAY, ROUND ROCK, TX 78665-3892
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2153872
LICENSE
—
Enumeration date
05/09/2022
Last updated
05/09/2022
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