Mrs Maricor Villavicencio, PT | |
748 Blue Jay Way, Dyer, IN 46311-4004 | |
(708) 527-4061 | |
Not Available |
Full Name | Mrs Maricor Villavicencio |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 748 Blue Jay Way, Dyer, Indiana |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750915500 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070016556 (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mrs Maricor Villavicencio, PT 748 Blue Jay Way, Dyer, IN 46311-4004 Ph: (708) 527-4061 | Mrs Maricor Villavicencio, PT 748 Blue Jay Way, Dyer, IN 46311-4004 Ph: (708) 527-4061 |
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