MR. Kenneth-Albert Fababaer Valenzuela, PT
NPI #1558779876 in Forest Park, Illinois
Provider Information
- NPI Number
- 1558779876
- Entity Type
- Individual
- Name
- MR. Kenneth-Albert Fababaer Valenzuela, PT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapist
- Credential
- PT
- Enumeration Date
- Jul 30, 2014
- Last Updated
- Jul 30, 2014
Practice Location
- Address
- 7440 HARRISON ST APT 2
- City
- Forest Park
- State
- Illinois
- ZIP Code
- 60130-2085
- Phone
- (708) 790-9577
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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