| Doctor Name: | MS. SUSAN ASHLEY VONVILLAS |
| NPI Number: | 1104055375 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.T., M.S., D.P.T. |
| License Number: | 1171680 |
| Business Practice Address: | 22702 Newcourt Place Street Tomball, TX - 773751125 |
| Business Phone Number: | 2815461228 |
| Business Fax Number: | 8327610308 |
| Mailing Address: | 22702 Newcourt Place Street, TOMBALL |
| State: | TX |
| Postal Code: | 773751125 |
| Phone Number: | 2815461228 |
| Fax Number: | 8327610308 |
| NPI Enumeration Date: | 07/09/2009 |
| NPI Last Update Date: | 02/22/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | 1171680 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |