DANIEL VILLAVICENCIO

EDISON, NJ
NPI1083296545
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NJ  40QA01999100)
Enumeration Date2021-04-24
Last Update Date2022-01-18
Business Address
DANIEL VILLAVICENCIO PT, DPT
1071 INMAN AVE UNIT 4
EDISON, NJ 08820-1132
Phone number: 732-518-8868
Mailing Address
DANIEL VILLAVICENCIO PT, DPT
1311 MAMARONECK AVE STE 140
WHITE PLAINS, NY 10605-5224
Phone number: 888-830-4125
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