Villa Pediatric Therapy LLC

NPI #1689132375 in Rathdrum, Idaho

Provider Information

NPI Number
1689132375
Entity Type
Organization
Organization Name
Villa Pediatric Therapy LLC
Primary Specialty
Speech-Language Pathologist
Enumeration Date
Mar 12, 2019
Last Updated
Apr 4, 2022

Practice Location

Address
8052 W MAIN ST UNIT 107
State
Idaho
ZIP Code
83858-4915
Phone
(208) 503-6173

Authorized Official

Name
CRISTINA VILLARREAL, MS, CCC-SLP
Title
OWNER
Phone
(208) 503-6173

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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