WIRT RAINIER VILLANUEVA

BRICK, NJ
NPI1194911933
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2251G0304X Physical Therapist, Geriatrics
(Licence: NJ  40QA01009100)
Enumeration Date2007-09-14
Last Update Date2007-09-14
Business Address
Mr. WIRT RAINIER VILLANUEVA Physical Therapist
75 OLD TOMS RIVER RD
BRICK, NJ 08723-7800
Phone number: 732-451-1000
Mailing Address
Mr. WIRT RAINIER VILLANUEVA Physical Therapist
12 ETTY CT
MANCHESTER, NJ 08759-5918
Phone number: 732-323-8628
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