| Provider / Organization | NPI | Date Certified |
|---|---|---|
| EVELYN VILLARREAL LACLEDE | 1326645375 | 2024-03-10 |
Evelyn Villarreal [F] graduated in 2020 and primarily specializes in Physical Therapy.
Evelyn Villarreal Laclede is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1326645375. Registration indicates Evelyn Villarreal Laclede is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Physical Therapist (Physical Therapist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers) (Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Physical Therapist) (Physical Therapist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers) (Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Physical Therapist) (Physical Therapist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)
| PECOS ID | 7416377551 |
| Entity Type | Individual |
| Provider Name | Evelyn Villarreal Laclede PT, DPT |
| Other Provider Name | Evelyn Villarreal |
| Practice Office Address | 2457 GUM BRANCH RD # 600-800 JACKSONVILLE, NC US |
| Practice Office Telephone | 2522284643 |
| Mailing Address | 2457 GUM BRANCH RD # 600-800 JACKSONVILLE, NC 285404008 US |
| Code | Practice | License No State |
|---|---|---|
| 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist Physical Therapist Speech/Occupational/Physical Therapy/Chiropractor Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers | 1337128
TX |
| 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist Physical Therapist Speech/Occupational/Physical Therapy/Chiropractor Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers | PT61393182
WA |
| 225100000X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist Physical Therapist Speech/Occupational/Physical Therapy/Chiropractor Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers | CP029624T
NC |