MRS. Maricor Villavicencio, PT

NPI #1750915500 in Dyer, Indiana

Provider Information

NPI Number
1750915500
Entity Type
Individual
Name
MRS. Maricor Villavicencio, PT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
PT
Enumeration Date
Mar 1, 2020
Last Updated
Mar 1, 2020

Practice Location

Address
748 BLUE JAY WAY
City
Dyer
State
Indiana
ZIP Code
46311-4004
Phone
(708) 527-4061

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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