Tara Villarreal is a Pediatrics in Gilbert, Arizona. Tara Villarreal practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Tara Villarreal is 1396891701. The last update date is 2007-07-08.
Tara Villarreal's current location address is 1855 E Los Alamos St, Gilbert, Arizona. You can contact this provider via phone number 4807034532. The mailing address for Tara Villarreal is 1855 E Los Alamos St, Gilbert, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tara Villarreal |
|---|---|
| Address | 1855 E Los Alamos St, Gilbert, Arizona |
| Phone Number | 4807034532 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PT, DPT |
NPI Number Detail
| NPI Number | 1396891701 |
|---|---|
| Provider Enumeration Date | 2007-01-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1855 E Los Alamos St |
|---|---|
| City | Gilbert |
| State | Arizona (AZ) |
| Post Code | 852965155 |
| Phone Number | 4807034532 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
| Licence No | 6208 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
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What is the unique identification code assigned to Tara Villarreal by the Centers for Medicare & Medicaid Services?
The Tara Villarreal has been issued the NPI (National Provider Identifier) 1396891701. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Tara Villarreal?
The Tara Villarreal is physically situated at 1855 E Los Alamos St, in the city of Gilbert, state of AZ, with the postal code 852965155.
What is Tara Villarreal's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Tara Villarreal's specialized field of practice is Pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 2251P0200X.
On what date did the Centers for Medicare & Medicaid Services assign the 1396891701 to Tara Villarreal?
The Centers for Medicare & Medicaid Services assigned the 1396891701 to Tara Villarreal on 2007-01-26.
As of what date were the details related to Tara Villarreal most recently updated or revised?
The information pertaining to Tara Villarreal, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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