Individual
ANTHONY PAUL AQUINO VILLAFUERTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
22 BROOKSIDE DR, WHITE HAVEN, PA 18661-2724
(570) 579-6189
Mailing address
22 BROOKSIDE DR, WHITE HAVEN, PA 18661-2724
(570) 579-6189
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT017854
PA
Other
Enumeration date
02/16/2013
Last updated
02/16/2013
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