Individual
KYLE ANTHONY VALENCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
18785 BROOKHURST ST STE 104, FOUNTAIN VALLEY, CA 92708-7300
(657) 301-4967
Mailing address
18785 BROOKHURST ST STE 104, FOUNTAIN VALLEY, CA 92708-7300
(661) 917-8155
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
51622
CA
Other
Enumeration date
12/22/2021
Last updated
12/22/2021
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