NPI 1043337215

Ryan Guevara Villorente, PTA

Practitioner Physical Therapy Assistant West Orange, NJ

Practice location

Address: 21 Summit St, West Orange, NJ 07052-1501
Phone: (973) 736-2000
Mailing address: 21 Merkel Dr, Bloomfield, NJ 07003-3126

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 40QB00235000 (NJ)

Other Physical Therapy Assistant providers in New Jersey →

Registry record

NPI: 1043337215
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Mar 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.