Individual
JUAN VILLARREAL
Active
Individual
JUAN VILLARREAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
2089635
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2089635
PHYSICAL THERAPY LICENSE
TX
Enumeration date
07/16/2013
Last updated
07/16/2013
Update your record
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