Individual
DAMIAN VILLARREAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
24712 MUNSON ST, TAYLOR, MI 48180-2137
(313) 283-4832
Mailing address
24712 MUNSON ST, TAYLOR, MI 48180-2137
(313) 283-4832
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4578
CA
Other
Enumeration date
10/02/2018
Last updated
10/02/2018
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