Individual
ANNA LIZA E VILLEGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2922 MAYOR DR, KOKOMO, IN 46902-3593
(765) 252-9519
Mailing address
2922 MAYOR DR, KOKOMO, IN 46902-3593
(765) 252-9519
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05009214A
IN
Other
Enumeration date
03/08/2007
Last updated
08/15/2019
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