| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KEVIN LOZARES VILLANUEVA | 1902405350 | 2020-10-17 |
Kevin Lozares Villanueva is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1902405350. Registration indicates Kevin Lozares Villanueva is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Physical Therapy Assistant (Physical Therapy Assistant, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Physical Therapy Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)
| Entity Type | Individual |
| Provider Name | Kevin Lozares Villanueva PTA |
| Practice Office Address | 501 W BROADWAY SAN DIEGO, CA US |
| Practice Office Telephone | 6192379027 |
| Mailing Address | 7155 CALSTON PL SAN DIEGO, CA 921265958 US |
| Business Telephone | 8583356957 |
| Code | Practice | License No State |
|---|---|---|
| 225200000X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapy Assistant Physical Therapy Assistant Speech/Occupational/Physical Therapy/Chiropractor Physical Therapy Assistant Respiratory, Developmental, Rehabilitative and Restorative Service Providers | 50796
CA |