| Doctor Name: | MR. JOSE DANIEL VILLASANA |
| NPI Number: | 1073702791 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSPT |
| License Number: | PT23634 |
| Business Practice Address: | 401 Venture Dr Ste C South Daytona, FL - 321193475 |
| Business Phone Number: | 3867630084 |
| Business Fax Number: | |
| Mailing Address: | 401 Venture Dr Ste C, SOUTH DAYTONA |
| State: | FL |
| Postal Code: | 321193475 |
| Phone Number: | 3867630084 |
| Fax Number: | |
| NPI Enumeration Date: | 10/18/2007 |
| NPI Last Update Date: | 10/18/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | PT23634 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |