Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Kenneth-Albert Fababaer Valenzuela, PT

Individual provider Physical Therapist · NPI 1558779876

Mr. Kenneth-Albert Fababaer Valenzuela, PT is a Physical Therapist in Forest Park, Illinois. Practices as a sole proprietor. Licensed in Delaware and Illinois.

Licensed in
DE, IL
In the registry since
2014
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

7440 Harrison St Apt 2
Forest Park, IL 60130-2085
Phone: (708) 790-9577
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070020735 (IL)
Physical Therapist Taxonomy 225100000X · Licence J1-0003168 (DE)

Record details

NPI number1558779876
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedJuly 30, 2014
Last updated in NPPESJuly 30, 2014

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