Individual
KEVIN RAJ VILLEGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1125 FORREST AVE STE 101, DOVER, DE 19904-3483
(302) 735-4900
(302) 735-4671
Mailing address
119 PROFESSIONAL CTR BLDG 1265, INDIANA, PA 15701-3586
(724) 801-8095
(724) 801-8147
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J1-0003719
DE
Other
Enumeration date
06/01/2017
Last updated
06/01/2017
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