| Doctor Name: | JEANNIE FRANCES LARIOSA VILLAMANTE |
| NPI Number: | 1477893931 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RPT, DPT |
| License Number: | 008125 |
| Business Practice Address: | 652 W Avon Rd Avon, CT - 060012906 |
| Business Phone Number: | 8606732521 |
| Business Fax Number: | |
| Mailing Address: | 1175 Farmington Ave, Apt 2-403 BRISTOL |
| State: | CT |
| Postal Code: | 060104730 |
| Phone Number: | 8605184623 |
| Fax Number: | |
| NPI Enumeration Date: | 02/21/2013 |
| NPI Last Update Date: | 02/21/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 008125 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |