DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. CARL JASON ANTONIL VILLANUEVA, PT

Active Sole Proprietor

MR. CARL JASON ANTONIL VILLANUEVA, PT is a Physical Therapy Assistant healthcare provider located in JACKSONVILLE, North Carolina. NPI 1467611905 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · JACKSONVILLE, NC

Registration Details

NPI Number
1467611905
Provider Type
Individual
Gender
Male
NPI Issued
Jun 9, 2008 (17.996615498244 yrs)
Last Updated
Jun 9, 2008
License
8040 (NC)
Sole Proprietor
Yes

Practice Information

Address
1839 ONSLOW DR
JACKSONVILLE, NC, 285405906
Browse NC providers · Browse ZIP 28540
Phone
9104553610
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in JACKSONVILLE, NC

Name Credential NPI
MICHAEL JOSEPH AUGUSTINE DPT 1861485377
CHRISTIE KENNEDY AUGUSTINE MPT 1346233863
DARRIN EUGENE MADOLE PT 1093790214
KIRA PORTER BOYD MSPT 1205809449
LISA B MCINTOSH PT 1710953328
BRADLEY ALLEN OTTINGER MPT 1861452526
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.