Individual
DANGELL G VILLANUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
4922 LA SALLE ROAD, HYATTSVILLE, MD 20782-3302
(301) 864-2333
Mailing address
4922 LA SALLE ROAD, HYATTSVILLE, MD 20782-3302
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
07404
MD
Other
Enumeration date
12/22/2014
Last updated
12/22/2014
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