Individual
JUAN VILLARREAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
6550 SPRINGFIELD AVE STE 101, LAREDO, TX 78041-6712
(956) 725-4555
Mailing address
6550 SPRINGFIELD AVE STE#101, LAREDO, TX 78041
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
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