Diane Marie Villar, PTA
Physical Therapy Assistant in Long Beach, CA. Individual provider (NPI-1).
NPI number1710691308
StatusActive
Last updated in NPPESJan 9, 2023
Details
- NPI
- 1710691308
- Entity type
- Individual (NPI-1)
- Name
- Diane Marie Villar
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 9, 2023
- Certification date
- Jan 9, 2023
- Last updated
- Jan 9, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 6742 | CA | Yes |
Practice location
2650 Elm Ave Ste 209Long Beach, CA 90806-1600
Phone 949-540-5641 · Fax 562-600-0706
Mailing address
9080 Irvine Center DrIrvine, CA 92618-4658
Phone 949-540-5641
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All 56 Physical Therapy Assistant providers in Long Beach · All 16,615 providers in Long Beach
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