Individual
MR. RICHARD J VILLANUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
755 SCOTT CIR, JBPHH, HI 96853-5399
(808) 448-6137
Mailing address
755 SCOTT CIR, JBPHH, HI 96853-5399
(808) 448-6137
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
013745
AZ
2251X0800X
Orthopedic Physical Therapist
1935
NV
2251X0800X
Orthopedic Physical Therapist
Primary
2579
HI
2251X0800X
Orthopedic Physical Therapist
32591
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100508900
—
NV
Enumeration date
10/03/2006
Last updated
09/29/2023
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