Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ICELLE GRACE VILLANUEVA MARTINEZ, PT, DPT
Active Sole ProprietorPhysical Medicine & Rehabilitation · LIVONIA, MI
Registration Details
- NPI Number
- 1508423138
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 20, 2019 (6.9635177894809 yrs)
- Last Updated
- May 20, 2019
- License
-
5501012216 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
36313 ST ANDREWS DRLIVONIA, MI, 481524130Browse MI providers · Browse ZIP 48152
- Phone
- 2488052622
- Primary Specialty
-
Physical Medicine & Rehabilitation
208100000X
Other Physical Medicine & Rehabilitation Providers in LIVONIA, MI
| Name | Credential | NPI |
|---|---|---|
| DR. STEVEN RUSSELL HINDERER | MD | 1619915782 |
| MONICA LOPEZ GREEN | MD | 1821004326 |
| DR. ARTI PATEL AMIN | MD | 1629133152 |
| MRS. URSZULA MICHALSKI | RPTA | 1578754024 |
| DR. OMAIMA BOKHARI | MD | 1932527496 |
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.