Organization
INTELKINETIC THERAPEUTIC CONNECTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASONRIC VILLANUEVA DPT (OWNER/DPT)
(704) 680-2834
Entity
Organization
Contact information
Practice address
2210 PENFIELD LN, BOWIE, MD 20716-1426
(704) 680-2834
Mailing address
3540 CRAIN HWY UNIT 397, BOWIE, MD 20716-1303
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/29/2021
Last updated
07/29/2021
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