Doctor Name: | MISS GERMELA OLIVEROS VALDRIZ |
NPI Number: | 1003186131 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BSPT |
License Number: | PT22572 |
Business Practice Address: | 1120 W Donegan Ave Kissimmee, FL - 347412247 |
Business Phone Number: | 4078472854 |
Business Fax Number: | |
Mailing Address: | 3202 Pinecone Dr, Unit 103 KISSIMMEE |
State: | FL |
Postal Code: | 347413762 |
Phone Number: | 2399359332 |
Fax Number: | |
NPI Enumeration Date: | 01/05/2012 |
NPI Last Update Date: | 01/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251G0304X |
License Number: | PT22572 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Geriatrics |
Taxonomy Definition: |