| NPI | 1326645375 |
|---|---|
| Former Name | EVELYN VILLARREAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC CP029624T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1337128) |
| 225100000X Physical Therapist (Licence: WA PT61393182) | |
| Enumeration Date | 2020-10-02 |
| Last Update Date | 2024-03-10 |