Provider Demographics
NPI:1730920240
Name:GALVAN GODINES, VALERIA CAROLINA (PT, DPT)
Entity type:Individual
Prefix:
First Name:VALERIA
Middle Name:CAROLINA
Last Name:GALVAN GODINES
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6509 PLAZA PKWY APT 212
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76116-2421
Mailing Address - Country:US
Mailing Address - Phone:956-639-5046
Mailing Address - Fax:
Practice Address - Street 1:4120 HERITAGE TRACE PKWY STE 220
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76244-5309
Practice Address - Country:US
Practice Address - Phone:682-325-3015
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-06
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1391760225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist