MEDICARE: VALERIE ABETO DIMALANTA PT, DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	1326387	TX

General Provider Information

NPI Number	:	1073151569
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VALERIE ABETO DIMALANTA PT, DPT

Provider Business Mailing Address
First Line	:	653 BEL AIR DR
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78418-4821
Country	:	US
Telephone Number	:	361-288-6634
Fax Number	:

Provider Business Practice Location Address
First Line	:	1114 N 14TH ST
Second Line	:
City	:	KINGSVILLE
State	:	TX
Zip	:	78363-4069
Country	:	US
Telephone Number	:	361-500-6686
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/15/2019
Last Update Date	:	06/05/2026

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