Individual
ERICSON G VILLANUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
24901 NORTHWESTERN HWY, SUITE 101, SOUTHFIELD, MI 48075-2203
(248) 358-3000
(248) 358-3001
Mailing address
24901 NORTHWESTERN HWY, SUITE 101, SOUTHFIELD, MI 48075-2203
(248) 358-3000
(248) 358-3001
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501012802
MI
Other
Enumeration date
05/08/2007
Last updated
10/06/2007
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