Individual
CHARMAINE ANNE ERCE VILLANUEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
277 VAN CORTLANDT AVE E APT 4F, BRONX, NY 10467-3021
(312) 774-2369
Mailing address
4834 W SCHUBERT AVE, CHICAGO, IL 60639-1727
(312) 774-2369
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
049502
NY
225200000X
Physical Therapy Assistant
012469
NY
Other
Enumeration date
06/23/2022
Last updated
04/26/2023
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