Provider Demographics
NPI:1023449147
Name:VILLUGA, BRIGETTE (DPT)
Entity type:Individual
Prefix:DR
First Name:BRIGETTE
Middle Name:
Last Name:VILLUGA
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2047 TYLER ST
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-5317
Mailing Address - Country:US
Mailing Address - Phone:908-265-2250
Mailing Address - Fax:
Practice Address - Street 1:234 STELTON RD
Practice Address - Street 2:2ND FLOOR
Practice Address - City:PISCATAWAY
Practice Address - State:NJ
Practice Address - Zip Code:08854-3244
Practice Address - Country:US
Practice Address - Phone:732-968-1999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-01
Last Update Date:2013-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01440100225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist