Individual
ANTHONY VALENZUELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3250 WINKLER AVE, FORT MYERS, FL 33916-9414
(239) 939-4993
Mailing address
8398 SAN CARLOS BLVD, FORT MYERS, FL 33967-3205
(305) 283-9181
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18578
FL
Other
Enumeration date
03/28/2022
Last updated
03/28/2022
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