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NPI Code Detail

MEDICARE: ALLISON VILLANE DPT

MEDICARE: ALLISON VILLANE DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist40QA02405600NJ

General Provider Information

NPI Number : 1104675081
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON VILLANE DPT
Provider Business Mailing Address
First Line : 40 WEST ST
Second Line :
City : MONMOUTH BEACH
State : NJ
Zip : 07750-1326
Country : US
Telephone Number : 732-859-2580
Fax Number :
Provider Business Practice Location Address
First Line : 44 WEST ST
Second Line :
City : MONMOUTH BEACH
State : NJ
Zip : 07750-1326
Country : US
Telephone Number : 732-963-1971
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2024
Last Update Date : 03/14/2026

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