Individual
MRS. ELBA JANNETTE VILLANUEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1301 JUSTIN RD STE 206, LEWISVILLE, TX 75077-2150
(972) 317-7775
(972) 317-6356
Mailing address
1301 JUSTIN RD STE 206, LEWISVILLE, TX 75077-2150
(972) 317-7775
(972) 317-6356
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
445
PR
225XP0200X
Pediatric Occupational Therapist
Primary
117363
TX
Other
Enumeration date
09/14/2010
Last updated
06/21/2017
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