Provider Demographics
NPI:1497164776
Name:PINTAR, VALERIE (ATC)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:
Last Name:PINTAR
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2658 WORDEN ST UNIT 232
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92110-5851
Mailing Address - Country:US
Mailing Address - Phone:818-419-5591
Mailing Address - Fax:
Practice Address - Street 1:12440 CAMPO RD
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:CA
Practice Address - Zip Code:91978-2331
Practice Address - Country:US
Practice Address - Phone:818-419-5591
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-12
Last Update Date:2014-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2000011797226300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes226300000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersKinesiotherapist