MEDICARE: VALERIA VISOIU PTA

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	225200000X	Physical Therapy Assistant	2124066	TX

General Provider Information

NPI Number	:	1245712850
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VALERIA VISOIU PTA

Provider Business Mailing Address
First Line	:	5104 N CYNTHIA ST
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78504-2321
Country	:	US
Telephone Number	:	956-341-1430
Fax Number	:

Provider Business Practice Location Address
First Line	:	2624 N MCCOLL RD
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78501-5502
Country	:	US
Telephone Number	:	956-664-9955
Fax Number	:

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

Provider Enumeration Date	:	08/30/2018
Last Update Date	:	08/30/2018

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Directions to “ VALERIA VISOIU PTA” Practice Location

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