Individual
MR. ROMAN VILLAPANDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1378 RELIANCE, CARSON, CA 90746-2854
(424) 271-5510
Mailing address
1378 RELIANCE, CARSON, CA 90746-2854
(424) 271-5510
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
160005795
IL
225200000X
Physical Therapy Assistant
Primary
49977
CA
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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