Alejandro Villada
Physical Therapy Assistant in Jacksonville, FL. Individual provider (NPI-1).
NPI number1245974591
StatusActive
Last updated in NPPESApr 25, 2022
Details
- NPI
- 1245974591
- Entity type
- Individual (NPI-1)
- Name
- Alejandro Villada
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 22, 2022
- Certification date
- Apr 25, 2022
- Last updated
- Apr 25, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 31618 | FL | Yes |
| 225200000X | Physical Therapy Assistant | – | – |
Practice location
2646 Kersey CtJacksonville, FL 32216-0536
Phone 201-558-8218
Mailing address
2646 Kersey CtJacksonville, FL 32216-0536
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 189 Physical Therapy Assistant providers in Jacksonville · All 31,644 providers in Jacksonville
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