Individual
JAVIER VILLANUEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
17628 ALBURTIS AVE UNIT 4, ARTESIA, CA 90701-3868
(562) 391-6749
Mailing address
17628 ALBURTIS AVE UNIT 4, ARTESIA, CA 90701-3868
(562) 391-6749
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
51244
CA
Other
Enumeration date
03/29/2022
Last updated
03/29/2022
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