Individual
MR. DANAAN EMMANUEL VILLENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4924 CAMPBELL BLVD STE 130A, NOTTINGHAM, MD 21236-5909
(443) 725-6480
Mailing address
9734 SILVER FARM CT, PERRY HALL, MD 21128-9052
(443) 725-6480
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
29077
MD
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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