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Individual
LITO B VILLANUEVA
Active
Individual
LITO B VILLANUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
02207
MO
2251G0304X
Geriatric Physical Therapist
Primary
24312
FL
Other
Enumeration date
03/26/2007
Last updated
02/06/2020
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