NPI Code Details Logo

NPI 1306739537

NPI 1306739537 : AMORA VALENCIA PT : WASHINGTON, DC

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1306739537
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    AMORA VALENCIA PT
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    05/29/2025
-----------------------------------------------------
    Last Update Date     |    08/06/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1133 21ST ST NW 
-----------------------------------------------------
    City                 |    WASHINGTON
-----------------------------------------------------
    State                |    DC
-----------------------------------------------------
    Zip                  |    20036-3390
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    202-416-2000
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    111 S PERRY ST 
-----------------------------------------------------
    City                 |    DENVER
-----------------------------------------------------
    State                |    CO
-----------------------------------------------------
    Zip                  |    80219-1837
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    951-238-5880
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    2251S0007X
-----------------------------------------------------
    Taxonomy Name        |    Sports Physical Therapist
-----------------------------------------------------
    License Number       |    PT210002569
-----------------------------------------------------
    License Number State |    DC
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.