Provider Demographics
NPI:1235325762
Name:VILLABROZA, JULIE ROSE LATORRE (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:JULIE ROSE
Middle Name:LATORRE
Last Name:VILLABROZA
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:313 E WESTFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:ROSELLE PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07204-2317
Mailing Address - Country:US
Mailing Address - Phone:908-620-1991
Mailing Address - Fax:908-620-9777
Practice Address - Street 1:313 E WESTFIELD AVE
Practice Address - Street 2:
Practice Address - City:ROSELLE PARK
Practice Address - State:NJ
Practice Address - Zip Code:07204-2317
Practice Address - Country:US
Practice Address - Phone:908-620-1991
Practice Address - Fax:908-620-9777
Is Sole Proprietor?:No
Enumeration Date:2007-09-18
Last Update Date:2007-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01222500225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist