Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CARLOS VILLAVERDE AVILLA, M.S.P.T.
Active Sole ProprietorMR. CARLOS VILLAVERDE AVILLA, M.S.P.T. is a Pediatric Occupational Therapy healthcare provider located in MEDFORD, New York. NPI 1134374226 is currently active in the NPPES registry. Verify at CMS.
Pediatric Occupational Therapy · MEDFORD, NY
Registration Details
- NPI Number
- 1134374226
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 18, 2008 (17.710400421361 yrs)
- Last Updated
- Nov 18, 2008
- License
-
023135-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5 CAMDEN CTMEDFORD, NY, 117631583Browse NY providers · Browse ZIP 11763
- Phone
- 6317364334
- Fax
- 6317364333
- Primary Specialty
-
Pediatric Occupational Therapy
2251P0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.