Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 1204690 | TX |
NPI | 1003109455 |
---|---|
Provider Name | Claudia Y Villasana-Munoz |
First Address | Glendale, AZ 85308-5653 |
Second Address | The Woodlands, TX 77382-2836 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2011 |
Last Update Date | 12/05/2015 |