Conseulo Villareal, RPT

NPI #1952502874 in Ellenton, Florida

Provider Information

NPI Number: 1952502874
Entity Type: Individual
Name: Conseulo Villareal, RPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: RPT
Enumeration Date: May 29, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 2823 US HIGHWAY 301 N
Address 2: STE 4
City: Ellenton
State: Florida
ZIP Code: 34222-2084
Phone: (941) 729-8600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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