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Individual

DIANE MARIE VILLAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
2650 ELM AVE STE 209, LONG BEACH, CA 90806-1600
(949) 540-5641
(562) 600-0706
Mailing address
9080 IRVINE CENTER DR, IRVINE, CA 92618-4658
(949) 540-5641

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6742
CA

Other

Enumeration date
01/09/2023
Last updated
01/09/2023
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