SEVERINO TAYSON VILLANUEVA

MILWAUKEE, WI
NPI1083669352
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WI  4975-024)
Enumeration Date2006-05-24
Last Update Date2007-07-08
Business Address
Mr. SEVERINO TAYSON VILLANUEVA PT
2323 N LAKE DR
MILWAUKEE, WI 53211-4508
Phone number: 414-291-1067
Mailing Address
Mr. SEVERINO TAYSON VILLANUEVA PT
3926 W MINNESOTA AVE
FRANKLIN, WI 53132-8763
Phone number: 414-423-0373