Provider Demographics
NPI:1982112876
Name:DANILA, AMIE VILLANUEVA
Entity Type:Individual
Prefix:
First Name:AMIE
Middle Name:VILLANUEVA
Last Name:DANILA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3906 WARNER AVE
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20784-2001
Mailing Address - Country:US
Mailing Address - Phone:347-595-2022
Mailing Address - Fax:
Practice Address - Street 1:3906 WARNER AVE
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20784-2001
Practice Address - Country:US
Practice Address - Phone:347-595-2022
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-13
Last Update Date:2018-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist