Provider Demographics
NPI:1235837451
Name:VILLANUEVA, ARTHUR PHILIP ZAYAS (PTDPT)
Entity Type:Individual
Prefix:MR
First Name:ARTHUR PHILIP
Middle Name:ZAYAS
Last Name:VILLANUEVA
Suffix:
Gender:M
Credentials:PTDPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:269 RESERVATION RD APT 110
Mailing Address - Street 2:
Mailing Address - City:MARINA
Mailing Address - State:CA
Mailing Address - Zip Code:93933-3189
Mailing Address - Country:US
Mailing Address - Phone:831-220-5327
Mailing Address - Fax:
Practice Address - Street 1:269 RESERVATION RD APT 110
Practice Address - Street 2:
Practice Address - City:MARINA
Practice Address - State:CA
Practice Address - Zip Code:93933-3189
Practice Address - Country:US
Practice Address - Phone:831-220-5327
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-16
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA40630225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist