GRACE KELLY VILLANUEVA

MICHIGAN CITY, IN
NPI1932670064
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IN  05008163A)
Enumeration Date2018-12-16
Last Update Date2019-06-19
Business Address
GRACE KELLY VILLANUEVA
3500 FRANCISCAN WAY
MICHIGAN CITY, IN 46360
Phone number: 219-877-1613
Mailing Address
GRACE KELLY VILLANUEVA
PO BOX 781076
DETROIT, MI 48278-1076
Phone number: 317-528-4800
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