Provider Demographics
NPI:1811624398
Name:VIOLA, AUBREY RODRIGUEZ (PHYSICAL THERAPY)
Entity type:Individual
Prefix:
First Name:AUBREY
Middle Name:RODRIGUEZ
Last Name:VIOLA
Suffix:
Gender:F
Credentials:PHYSICAL THERAPY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:821 PROSPECT PL APT 1A
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11216-4059
Mailing Address - Country:US
Mailing Address - Phone:718-541-3687
Mailing Address - Fax:
Practice Address - Street 1:821 PROSPECT PL APT 1A
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11216-4059
Practice Address - Country:US
Practice Address - Phone:718-541-3687
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-04
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY038160225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty