Netherine Lann Valencia Agsalda, RPT

NPI #1619302510 in White Hall, Illinois

Provider Information

NPI Number: 1619302510
Entity Type: Individual
Name: Netherine Lann Valencia Agsalda, RPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: RPT
Enumeration Date: Sep 10, 2013
Last Updated: Sep 10, 2013

Practice Location

Address: 620 W BRIDGEPORT ST.
Address 2: WHITE HALL NURSING AND REHAB
City: White Hall
State: Illinois
ZIP Code: 62092
Phone: (217) 374-2144

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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