Individual
ERNESTITO JOSE VILLAREAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2560 E FOOTHILL BLVD, PASADENA, CA 91107-3406
(626) 440-0991
(626) 405-0311
Mailing address
2560 E FOOTHILL BLVD, PASADENA, CA 91107-3406
(626) 440-0991
(626) 405-0311
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2701
CA
Other
Enumeration date
11/11/2008
Last updated
11/11/2008
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