Individual
KRISTOFFER VALENCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1900 E SLAUSON AVE STE B, HUNTINGTON PARK, CA 90255-2725
(323) 277-7678
Mailing address
330 W 11TH ST APT 405, LOS ANGELES, CA 90015-2232
(858) 354-1092
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
49332
CA
Other
Enumeration date
06/08/2018
Last updated
06/08/2018
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