Individual
KATERINA RENIVA VILLAROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3290 N RIDGE RD, SUITE 290, ELLICOTT CITY, MD 21043-3655
(800) 811-5549
Mailing address
3290 NORTH RIDGE ROAD, SUITE 290 EXECUTIVE CENTER II, ELLICOTT CITY, MD 21043-3657
(800) 811-5549
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2008007225
MO
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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