| Mira Ecila Villamarzo Castillo, PT, DPT, GCS | |
|
280 E Losey St, Galesburg, IL 61401-2819 | |
| (309) 343-2166 | |
| Not Available |
| Full Name | Mira Ecila Villamarzo Castillo |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 280 E Losey St, Galesburg, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720567985 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Powerback Rehabilitation Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1427454164 PECOS PAC ID: 2365359932 Enrollment ID: O20150529002032 |
| Provider Name | Texas Luna Care Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1790309656 PECOS PAC ID: 0648692723 Enrollment ID: O20200618000076 |
| Mailing Address | Practice Location Address |
|---|---|
| Mira Ecila Villamarzo Castillo, PT, DPT, GCS 1375 N Seminary St Apt 10, Galesburg, IL 61401-2016 Ph: (309) 569-6174 | Mira Ecila Villamarzo Castillo, PT, DPT, GCS 280 E Losey St, Galesburg, IL 61401-2819 Ph: (309) 343-2166 |
Ms. Melissa Engebretson, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 872 W Dayton St, Galesburg, IL 61401 Phone: 309-344-3400 Fax: 309-344-5040 | |
Lakshmi Kalyani Gudavalli, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 275 E Carl Sandburg Drive, Marigold Rehabilitation, Galesburg, IL 61401 Phone: 309-344-1151 | |
Jacobus Anton Wellerdieck, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3333 N Seminary St, Galesburg, IL 61401 Phone: 309-344-9600 | |
Advanced Rehab Sports Medicine Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 256 S Soangetaha Rd Ste 108, Galesburg, IL 61401 Phone: 309-343-3434 Fax: 309-343-3456 | |
Mrs. Jill Hickman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 865 N Kellogg St, 3rd Floor, Galesburg, IL 61401 Phone: 309-343-3434 Fax: 309-343-3456 | |
Ms. Wendy Michelle Paul, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3333 N Seminary St, Galesburg, IL 61401 Phone: 309-344-9600 Fax: 309-344-9675 | |
Dr. Joshua S Adams, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3333 N Seminary St, Galesburg, IL 61401 Phone: 309-344-9600 |