Ian Villa, | |
1200 Shenandoah View Pkwy, Brunswick, MD 21716-9780 | |
(714) 270-7666 | |
Not Available |
Full Name | Ian Villa |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 1200 Shenandoah View Pkwy, Brunswick, Maryland |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447936463 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 27776 (Maryland) | Primary |
Mailing Address | Practice Location Address |
---|---|
Ian Villa, 1200 Shenandoah View Pkwy, Brunswick, MD 21716-9780 Ph: (714) 270-7666 | Ian Villa, 1200 Shenandoah View Pkwy, Brunswick, MD 21716-9780 Ph: (714) 270-7666 |
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