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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. WIRT RAINIER VILLANUEVA, PHYSICAL THERAPIST

Active Sole Proprietor

MR. WIRT RAINIER VILLANUEVA, PHYSICAL THERAPIST is a Hand Therapy healthcare provider located in BRICK, New Jersey. NPI 1194911933 is currently active in the NPPES registry. Verify at CMS.

Hand Therapy · BRICK, NJ

Registration Details

NPI Number
1194911933
Provider Type
Individual
Gender
Male
NPI Issued
Sep 14, 2007 (18.936715241288 yrs)
Last Updated
Sep 14, 2007
License
40QA01009100 (NJ)
Sole Proprietor
Yes

Practice Information

Address
75 OLD TOMS RIVER RD
BRICK, NJ, 087237800
Browse NJ providers · Browse ZIP 08723
Phone
7324511000
Primary Specialty
Hand Therapy
2251G0304X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.