Individual
RAYMOND VILLANUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8146 BIRCHFIELD DR, INDIANAPOLIS, IN 46268-2895
(812) 841-9410
Mailing address
8146 BIRCHFIELD DR, INDIANAPOLIS, IN 46268-2895
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05007709A
IN
Other
Enumeration date
08/22/2012
Last updated
08/22/2012
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