Individual ProviderPaolo VillarroelPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address2677 W Crescent Ave, Anaheim, CA 92801-4902(949) 257-2656PECOS EnrollmentBased on the most recent information from CMS, provider Paolo Villarroel does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 12:59 PM.Profile DetailsProvider ID1215297775Provider TypeIndividualFull NameVillarroel, PaoloGenderMaleSole ProprietorYesEnumeration Date5/17/2012Last Updated5/17/2012Contact InformationPractice LocationPractice Address2677 W Crescent Ave, Anaheim, CA 92801-4902Phone(949) 257-2656FaxUnlisted FaxMailing LocationMailing Address2677 W Crescent Ave, Anaheim, CA 92801-4902PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicensePT34524California