Provider Demographics
NPI:1922257633
Name:GEHRMANN, NOVA VILLANUEVA
Entity Type:Individual
Prefix:MISS
First Name:NOVA
Middle Name:VILLANUEVA
Last Name:GEHRMANN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:NOVA
Other - Middle Name:SINGSON
Other - Last Name:VILLANUEVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:5035 DECIDELY CT
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544-5544
Mailing Address - Country:US
Mailing Address - Phone:813-380-1255
Mailing Address - Fax:
Practice Address - Street 1:5035 DECIDELY CT
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544-5544
Practice Address - Country:US
Practice Address - Phone:813-380-1255
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-17
Last Update Date:2008-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT10741225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist