Mira Ecila Villamarzo Castillo, PT, DPT, GCS
Physical Therapist in Galesburg, IL. Individual provider (NPI-1).
NPI number1720567985
StatusActive
Last updated in NPPESAug 8, 2018
Details
- NPI
- 1720567985
- Entity type
- Individual (NPI-1)
- Name
- Mira Ecila Villamarzo Castillo
- Credential
- PT, DPT, GCS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 8, 2018
- Last updated
- Aug 8, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
Practice location
280 E Losey StGalesburg, IL 61401-2819
Phone 309-343-2166
Mailing address
1375 N Seminary St Apt 10Galesburg, IL 61401-2016
Phone 309-569-6174
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All 34 Physical Therapist providers in Galesburg · All 738 providers in Galesburg
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