Provider Demographics
NPI:1437341682
Name:VILLARREAL, ANA (PT)
Entity Type:Individual
Prefix:MS
First Name:ANA
Middle Name:
Last Name:VILLARREAL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10000 TELEGRAPH RD
Mailing Address - Street 2:
Mailing Address - City:TAYLOR
Mailing Address - State:MI
Mailing Address - Zip Code:48180-3330
Mailing Address - Country:US
Mailing Address - Phone:313-295-6736
Mailing Address - Fax:
Practice Address - Street 1:2861 WEST RD
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:MI
Practice Address - Zip Code:48183-2400
Practice Address - Country:US
Practice Address - Phone:734-675-2262
Practice Address - Fax:734-675-3430
Is Sole Proprietor?:No
Enumeration Date:2007-08-13
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501004563225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5501004563OtherSTATE LICENSE