Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WILFREDO BERNARDO CLAVECILLA, PT
ActiveWILFREDO BERNARDO CLAVECILLA, PT is a Physical Therapy Assistant healthcare provider located in WOODSTOCK, Georgia. NPI 1790908507 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · WOODSTOCK, GA
Registration Details
- NPI Number
- 1790908507
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 10, 2007 (19.346904627347 yrs)
- Last Updated
- Jun 9, 2025
- License
-
PT008523 (GA)
Practice Information
- Address
-
6422 BELLS FERRY RD STE B-124WOODSTOCK, GA, 301896114Browse GA providers · Browse ZIP 30189
- Phone
- 7703721211
- Fax
- 4702023291
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in WOODSTOCK, GA
| Name | Credential | NPI |
|---|---|---|
| MRS. DONNA LEANN JONES | PT | 1164487021 |
| MR. RAHUL MARWAHA | PT | 1598710444 |
| WALTER FRANK PORTER III | MPT | 1710933924 |
| LEAH ANN BULOW | MSPT | 1891732020 |
| MYRA ANN MATUSZEK | PT | 1386682615 |
| JOHN W WESTBROOK | PT | 1992735419 |
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.