Provider Demographics
NPI:1114903788
Name:VIEL, JEAN-PIERRE LOUIS (PT, DPT, OCS)
Entity Type:Individual
Prefix:MR
First Name:JEAN-PIERRE
Middle Name:LOUIS
Last Name:VIEL
Suffix:
Gender:M
Credentials:PT, DPT, OCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:139 WILDWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:PIEDMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94610-1050
Mailing Address - Country:US
Mailing Address - Phone:510-538-9558
Mailing Address - Fax:510-538-7017
Practice Address - Street 1:19845 LAKE CHABOT RD
Practice Address - Street 2:SUITE 205
Practice Address - City:CASTRO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94546-4055
Practice Address - Country:US
Practice Address - Phone:510-538-9558
Practice Address - Fax:510-538-7017
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-15
Last Update Date:2011-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT7075225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPT7075OtherPT LICENSE NUMBER
CAPT7075OtherPT LICENSE NUMBER