| Doctor Name: | JANYSCA VALDES |
| NPI Number: | 1174950224 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMT |
| License Number: | MA 64798 |
| Business Practice Address: | 5520 Berryman St Lehigh Acres, FL - 339716401 |
| Business Phone Number: | 3059264794 |
| Business Fax Number: | 2394812209 |
| Mailing Address: | 5520 Berryman St, LEHIGH ACRES |
| State: | FL |
| Postal Code: | 339716401 |
| Phone Number: | 3059264794 |
| Fax Number: | 2394812209 |
| NPI Enumeration Date: | 10/03/2013 |
| NPI Last Update Date: | 10/03/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | MA 64798 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |