Individual
FERDINAND VILLANUEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
1345 N MACNEIL DR, AZUSA, CA 91702-6903
(562) 618-7708
Mailing address
1345 N MACNEIL DR, AZUSA, CA 91702-6903
(562) 618-7708
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1465
CA
Other
Enumeration date
09/21/2006
Last updated
11/04/2014
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