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Mr. Carlos Villaverde Avilla, MSPT
Pediatric Physical Therapist in Medford, New York
NPI 1134374226

Carlos Villaverde Avilla is a Pediatric Physical Therapist based in Medford, NY and is specialized in Pediatrics. Carlos Villaverde Avilla practices in Medford, NY and has the professional credentials of MSPT. The NPI Number for Carlos Villaverde Avilla is 1134374226 and holds a License No. 023135-1 (New York).

The current practice location address for Carlos Villaverde Avilla is 5 Camden Ct, Medford, NY and can be reached out via phone at 631-736-4334 and via fax at 631-736-4333.

Location: 5 Camden Ct, Medford, NY, 11763-1583
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134374226
Provider Name
Carlos Villaverde Avilla
Credential
MSPT
Provider Entity Type
Individual
Gender
Male
Address
5 Camden Ct, Medford, NY, 11763-1583
Phone Number
631-736-4334
Fax Number
631-736-4333
Provider Enumeration Date
11/18/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5 Camden Ct
City
Medford
State
New York
Zip
11763-1583
Phone Number
631-736-4334
Fax Number
631-736-4333
person
Provider Business Mailing Address Details
Address
5 Camden Ct
City
Medford
State
New York
Zip
11763-1583
Phone Number
631-736-4334
Fax Number
631-736-4333
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Pediatrics
Taxonomy
2251P0200X
License No.
023135-1 (New York)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
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