Individual
MR. DIEGO VILLARREAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1032 S CESAR E CHAVEZ DR, MILWAUKEE, WI 53204-2203
(414) 672-1353
Mailing address
PO BOX 778789, CHICAGO, IL 60677-8789
(414) 672-1353
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15435-24
WI
Other
Enumeration date
09/08/2021
Last updated
06/27/2023
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