| NPI | 1285399634 |
|---|---|
| Other Name | LEA REN VILLANUEVA MACALMA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P19762) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225100000X Physical Therapist (Licence: OR CP014374T) | |
| Enumeration Date | 2021-11-01 |
| Last Update Date | 2023-05-22 |