Valenzuela, Kenneth-Albert Fababaer

Valenzuela, Kenneth-Albert Fababaer is an sole proprietor health care provider with primary practice located at 7440 Harrison St Apt 2 , Forest Park IL 60130-2085. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Valenzuela, Kenneth-Albert Fababaer can be contacted via phone (708) 790-9577.

Contact Information

Primary practice address
7440 Harrison St Apt 2 Forest Park IL 60130-2085
Phone: (708) 790-9577
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070020735 Illinois
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X J1-0003168 Delaware

Profile Details

NPI number 1558779876
LBN Legal business name Valenzuela, Kenneth-Albert Fababaer
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 30th, 2014
Last updated Jul 30th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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