Doctor Name: | LAURA CRISTINA VILLAVICENCIO |
NPI Number: | 1699168096 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 30083 |
Business Practice Address: | 1500 S Douglas Rd Suite 210 Coral Gables, FL - 331344108 |
Business Phone Number: | 3054480146 |
Business Fax Number: | |
Mailing Address: | 17 Ludlam Dr, MIAMI SPRINGS |
State: | FL |
Postal Code: | 331664957 |
Phone Number: | 3058844308 |
Fax Number: | |
NPI Enumeration Date: | 03/09/2015 |
NPI Last Update Date: | 03/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 30083 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |