Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KENNETH-ALBERT FABABAER VALENZUELA, PT
Active Sole ProprietorMR. KENNETH-ALBERT FABABAER VALENZUELA, PT is a Physical Therapy Assistant healthcare provider located in FOREST PARK, Illinois. NPI 1558779876 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · FOREST PARK, IL
Registration Details
- NPI Number
- 1558779876
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 30, 2014 (11.897255153707 yrs)
- Last Updated
- Jul 30, 2014
- Licenses
-
070020735 (IL)J1-0003168 (DE)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7440 HARRISON ST APT 2FOREST PARK, IL, 601302085Browse IL providers · Browse ZIP 60130
- Phone
- 7087909577
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in FOREST PARK, IL
| Name | Credential | NPI |
|---|---|---|
| DAVID GERARD KLEINMEYER | DPT ATC L | 1326092685 |
| MRS. LINDSAY ERIN BJORK | PT CSCS | 1750338208 |
| SUSAN PACHTER | — | 1013026822 |
| ELIZABETH RITZENTHALER | — | 1174633739 |
| MRS. ELLEN C BUCHANAN | L.P.T. | 1477687150 |
| FRANCIS PASCUAL | — | 1689880510 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.