Provider Demographics
NPI:1619143377
Name:VILLAFLOR, JASON (PT, DPT, MS)
Entity Type:Individual
Prefix:
First Name:JASON
Middle Name:
Last Name:VILLAFLOR
Suffix:
Gender:M
Credentials:PT, DPT, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1602 E FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-2885
Mailing Address - Country:US
Mailing Address - Phone:919-960-3050
Mailing Address - Fax:919-918-3811
Practice Address - Street 1:1602 E FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-2885
Practice Address - Country:US
Practice Address - Phone:919-960-3050
Practice Address - Fax:919-918-3811
Is Sole Proprietor?:No
Enumeration Date:2008-05-02
Last Update Date:2008-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11138225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist