Individual
JENINA MAE VILLASIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
5300 BERGENLINE AVE STE 3, WEST NEW YORK, NJ 07093-5595
(866) 965-2253
Mailing address
123 MITCHELL ST, WEST ORANGE, NJ 07052-4566
(972) 669-1690
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
40QA00917100
NJ
Other
Enumeration date
09/28/2007
Last updated
04/13/2025
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