Individual
EMILY VILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 S KIRKWOOD RD, STE140, SAINT LOUIS, MO 63122-7254
(314) 821-5300
Mailing address
9701 FALL RIDGE TRL, SAINT LOUIS, MO 63127-1500
(314) 842-7673
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2001023245
LICENSE#
MO
Enumeration date
08/30/2006
Last updated
07/08/2007
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