Individual
JESSA MARIE VILLOSAN NOVICIO
Active
Individual
JESSA MARIE VILLOSAN NOVICIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
052170
NY
225100000X
Physical Therapist
Primary
PT-2026-0204
NM
Other
Enumeration date
07/20/2026
Last updated
07/20/2026
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