| 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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