MEDICARE: HANNAH VALDES 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	2251X0800X	Orthopedic Physical Therapist	P20551	NC

General Provider Information

NPI Number	:	1225600778
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH VALDES DPT

Provider Business Mailing Address
First Line	:	1001 VAN BUREN AVE STE 3
Second Line	:
City	:	INDIAN TRAIL
State	:	NC
Zip	:	28079-5541
Country	:	US
Telephone Number	:	704-628-6053
Fax Number	:

Provider Business Practice Location Address
First Line	:	1001 VAN BUREN AVE STE 3
Second Line	:
City	:	INDIAN TRAIL
State	:	NC
Zip	:	28079-5541
Country	:	US
Telephone Number	:	704-628-6053
Fax Number	:

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

Provider Enumeration Date	:	07/14/2021
Last Update Date	:	01/15/2026

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Directions to “ HANNAH VALDES DPT” Practice Location

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