Doctor Name: | ANGELA ELAINE VALDEZ |
NPI Number: | 1053405639 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 2529 |
Business Practice Address: | 1618 Ne 31st St Lawton, OK - 735073432 |
Business Phone Number: | 4057474358 |
Business Fax Number: | |
Mailing Address: | 1618 Ne 31st, LAWTON |
State: | OK |
Postal Code: | 735073432 |
Phone Number: | 4057474358 |
Fax Number: | |
NPI Enumeration Date: | 10/03/2006 |
NPI Last Update Date: | 05/30/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | 2529 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OK |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |