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
ZIP Code
60130-2085
Phone
(708) 790-9577

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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