Individual
CONSEULO VILLAREAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
2823 US HIGHWAY 301 N, STE 4, ELLENTON, FL 34222-2084
(941) 729-8600
(941) 729-4440
Mailing address
2823 US HIGHWAY 301 N, STE 4, ELLENTON, FL 34222-2084
(941) 729-8600
(941) 729-4440
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT18518
FL
Other
Enumeration date
05/29/2007
Last updated
07/08/2007
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