Provider Demographics
NPI:1861850042
Name:ESTEBAT, AUBREY ANNE SILVA (LPTA)
Entity Type:Individual
Prefix:
First Name:AUBREY ANNE
Middle Name:SILVA
Last Name:ESTEBAT
Suffix:
Gender:F
Credentials:LPTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4009 FLOWERFIELD RD APT A
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23518-4761
Mailing Address - Country:US
Mailing Address - Phone:619-494-6993
Mailing Address - Fax:
Practice Address - Street 1:4009 FLOWERFIELD RD APT A
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23518-4761
Practice Address - Country:US
Practice Address - Phone:619-494-6993
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-03
Last Update Date:2016-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2306604159225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant