Individual
MRS. RONA H VANWILLIGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1851 HIGHWAY 333, 2-B, EDGEWOOD, NM 87015
(505) 281-8463
(505) 281-8469
Mailing address
PO BOX 883, SANDIA PARK, NM 87047-0883
(505) 281-8463
(505) 281-8469
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3833
NM
Other
Enumeration date
05/02/2011
Last updated
05/02/2011
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