Doctor Name: | ANNIE MEDRANO VALDEZ |
NPI Number: | 1760704225 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PT.012746 |
Business Practice Address: | 955 Garden Lake Parkway Waterford Commons Toledo, OH - 43614 |
Business Phone Number: | 4193822200 |
Business Fax Number: | |
Mailing Address: | 3290 North Ridge Road, Executive Center Ii Suite 290 ELLICOTT CITY |
State: | MD |
Postal Code: | 21043 |
Phone Number: | 4107509006 |
Fax Number: | |
NPI Enumeration Date: | 02/24/2010 |
NPI Last Update Date: | 02/24/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT.012746 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |