Individual
DYLAN JEREMY VILLANUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1624 S ROUTE 59, NAPERVILLE, IL 60564-5966
(331) 249-4088
Mailing address
1311 MAMARONECK AVE STE 140, WHITE PLAINS, NY 10605-5224
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160010490
IL
Other
Enumeration date
03/20/2026
Last updated
03/21/2026
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