Individual
FABIANA BASTOS VILLARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4617 W BAILEY BOSWELL RD, FORT WORTH, TX 76179-4327
(682) 350-4206
(254) 249-1594
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(866) 370-8206
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
3129659
TX
225200000X
Physical Therapy Assistant
Primary
2089557
TX
Other
Enumeration date
07/29/2022
Last updated
12/20/2022
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