Doctor Name: | MR. ZEUS TADIJE VILLANUEVA |
NPI Number: | 1871796698 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | |
Business Practice Address: | 510 Broadway St. , Manor Care Rehab And Nursing Normal, IL - 617163816 |
Business Phone Number: | 3094524406 |
Business Fax Number: | |
Mailing Address: | 404 E Vernon Ave Apt E8, NORMAL |
State: | IL |
Postal Code: | 617613816 |
Phone Number: | 3093191416 |
Fax Number: | |
NPI Enumeration Date: | 06/08/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
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 |