Provider Demographics
NPI:1689156978
Name:VILLECCO, ALEXANDRA CAROLINE (DPT)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:CAROLINE
Last Name:VILLECCO
Suffix:
Gender:
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1014 ADAMS POINT DR
Mailing Address - Street 2:
Mailing Address - City:GARNER
Mailing Address - State:NC
Mailing Address - Zip Code:27529-6575
Mailing Address - Country:US
Mailing Address - Phone:919-359-1323
Mailing Address - Fax:919-827-8754
Practice Address - Street 1:1014 ADAMS POINT DR
Practice Address - Street 2:
Practice Address - City:GARNER
Practice Address - State:NC
Practice Address - Zip Code:27529-6575
Practice Address - Country:US
Practice Address - Phone:919-359-1323
Practice Address - Fax:919-827-8754
Is Sole Proprietor?:No
Enumeration Date:2018-09-04
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist