Individual
CHRISTIAN JAY VILLAGRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
135 PLAZA DR, KERRVILLE, TX 78028-2230
(830) 895-2626
Mailing address
715 CHINKAPIN DR, FREDERICKSBURG, TX 78624-2391
(830) 282-9037
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2140767
TX
Other
Enumeration date
03/19/2021
Last updated
03/19/2021
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