Doctor Name: | CONSEULO VILLAREAL |
NPI Number: | 1952502874 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RPT |
License Number: | PT18518 |
Business Practice Address: | 2823 Us Highway 301 N Ste 4 Ellenton, FL - 342222084 |
Business Phone Number: | 9417298600 |
Business Fax Number: | 9417294440 |
Mailing Address: | 2823 Us Highway 301 N, Ste 4 ELLENTON |
State: | FL |
Postal Code: | 342222084 |
Phone Number: | 9417298600 |
Fax Number: | 9417294440 |
NPI Enumeration Date: | 05/29/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT18518 |
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 |