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GWENDOLYN DENISE VILLELA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
111 HARRILSON RD, CHERRYVILLE, NC 28021-9541
(704) 435-4161
Mailing address
111 HARRILSON RD, CHERRYVILLE, NC 28021-9541
(704) 435-4161

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2287
SC
225200000X
Physical Therapy Assistant
Primary
3030
NC

Other

Enumeration date
05/16/2009
Last updated
05/16/2009
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