Healthcare Provider Details

I. General information

NPI: 1285540500
Provider Name (Legal Business Name): EMILY VILLANUEVA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13430 YARMOUTH DR
PICKERINGTON OH
43147-8310
US

IV. Provider business mailing address

1106 W WASHINGTON ST
BALTIMORE OH
43105-1158
US

V. Phone/Fax

Practice location:
  • Phone: 614-834-2620
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT013129
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: