Villarta, Kristine M
Villarta, Kristine M is an individual health care provider with primary practice located at 10 Saint Patricks Dr Suite 401, Waldorf MD 20603-4527. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Villarta, Kristine M can be contacted via phone (301) 870-6717.Contact Information
Primary practice address
10 Saint Patricks Dr Suite 401
Waldorf MD 20603-4527
Phone: (301) 870-6717
Fax: (301) 870-7366
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 21032 | Maryland |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 2305213251 | Virginia |
Profile Details
| NPI number | 1427044189 |
|---|---|
| LBN Legal business name | Villarta, Kristine M |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2005 |
| Last updated | Oct 25th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427044189 | NPPES |
| Maryland | MEDICAID | 404485100 |
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