Provider Demographics
NPI:1801319132
Name:VILLECCO, JOSEPH LOUIS (PT, DPT, OCS)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:LOUIS
Last Name:VILLECCO
Suffix:
Gender:M
Credentials:PT, DPT, OCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7724 CHAPEL HILL RD
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-6256
Mailing Address - Country:US
Mailing Address - Phone:984-999-1101
Mailing Address - Fax:984-244-2992
Practice Address - Street 1:7724 CHAPEL HILL RD
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-6256
Practice Address - Country:US
Practice Address - Phone:984-999-1101
Practice Address - Fax:984-244-2992
Is Sole Proprietor?:No
Enumeration Date:2017-07-19
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist