| Mr Kenneth-albert Fababaer Valenzuela, PT | |
|
7440 Harrison St Apt 2, Forest Park, IL 60130-2085 | |
| (708) 790-9577 | |
| Not Available |
| Full Name | Mr Kenneth-albert Fababaer Valenzuela |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 7440 Harrison St Apt 2, Forest Park, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558779876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070020735 (Illinois) | Primary |
| 225100000X | Physical Therapist | J1-0003168 (Delaware) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kenneth-albert Fababaer Valenzuela, PT 7440 Harrison St Apt 2, Forest Park, IL 60130-2085 Ph: () - | Mr Kenneth-albert Fababaer Valenzuela, PT 7440 Harrison St Apt 2, Forest Park, IL 60130-2085 Ph: (708) 790-9577 |
Susan Pachter, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7251 Madison St, Forest Park, IL 60130 Phone: 708-383-5795 | |
Dr. Natalie Hoff, PT, DPT, CERT-MDT Physical Therapist Medicare: Medicare Enrolled Practice Location: 842 Lathrop Ave, Forest Park, IL 60130 Phone: 847-504-6561 | |
Amy Van Santen, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 215 Rockford Ave, Forest Park, IL 60130 Phone: 708-488-8744 Fax: 708-488-8744 | |
Elizabeth Ritzenthaler, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7251 Madison St, Forest Park, IL 60130 Phone: 708-383-5795 | |
David Rivera, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 800 Desplaines Ave, Forest Park, IL 60130 Phone: 708-366-2442 | |
Melanie Ketchmark, Physical Therapist Medicare: Medicare Enrolled Practice Location: 8200 Roosevelt Rd, Forest Park, IL 60130 Phone: 708-850-4889 | |
Jennifer Marie Theisen, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 800 Des Plaines Ave, Forest Park, IL 60130 Phone: 708-366-2442 Fax: 708-366-0179 |