Provider Demographics
NPI:1144563008
Name:VALEZA, MAREN (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:MRS
First Name:MAREN
Middle Name:
Last Name:VALEZA
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6013 TAPESTRY DR
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78414-6334
Mailing Address - Country:US
Mailing Address - Phone:361-425-1260
Mailing Address - Fax:
Practice Address - Street 1:5857 TIMBERGATE DR
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78414-4237
Practice Address - Country:US
Practice Address - Phone:361-994-0900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-28
Last Update Date:2013-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1194430225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist