Individual
MR. VAUGHN THOMAS VILLARREAL I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
7100 W 13TH AVE, APT 213, LAKEWOOD, CO 80214-4700
(303) 770-4682
(303) 770-4812
Mailing address
7100 W 13TH AVE, APT 213, LAKEWOOD, CO 80214-4700
(303) 770-4682
(303) 770-4812
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
03/28/2012
Last updated
03/28/2012
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