Individual
MICHELLE LEIGH VILLARREAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3428 GULF BREEZE PKWY, GULF BREEZE, FL 32563-1400
(850) 934-1662
Mailing address
8455 S SUNCOAST BLVD, HOMOSASSA, FL 34446-5066
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 19264
FL
Other
Enumeration date
02/25/2010
Last updated
02/25/2010
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