Provider Demographics
NPI:1225207822
Name:VALENTINE, TERRY
Entity Type:Individual
Prefix:
First Name:TERRY
Middle Name:
Last Name:VALENTINE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7110 WURZBACH RD
Mailing Address - Street 2:APT 403
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-4821
Mailing Address - Country:US
Mailing Address - Phone:210-330-6799
Mailing Address - Fax:
Practice Address - Street 1:7110 WURZBACH RD
Practice Address - Street 2:APT 403
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-4821
Practice Address - Country:US
Practice Address - Phone:210-330-6799
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-27
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225000000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotic Fitter