Healthcare Provider Details

I. General information

NPI: 1588529275
Provider Name (Legal Business Name): HANNAH MAE VILLASIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

445 PLEASANT VALLEY WAY STE 100
WEST ORANGE NJ
07052-2919
US

IV. Provider business mailing address

123 MITCHELL ST
WEST ORANGE NJ
07052-4566
US

V. Phone/Fax

Practice location:
  • Phone: 862-453-8200
  • Fax:
Mailing address:
  • Phone: 973-640-3381
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: