Vannesa Joy Tarectecan Villegas

NPI #1184748105 in Wildwood, Florida

Provider Information

NPI Number: 1184748105
Entity Type: Individual
Name: Vannesa Joy Tarectecan Villegas
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Mar 16, 2007
Last Updated: Mar 28, 2023

Practice Location

Address: 410 W GULF ATLANTIC HWY
City: Wildwood
State: Florida
ZIP Code: 34785-7301
Phone: (352) 259-2159

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary
Contractor	171W00000X

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