Individual provider · Type 1 NPI

Jessica Marie Villalba

Rehabilitation Practitioner · Fresno, CA

NPI number 1174403786 Active

Practice location

2142 N Blythe Ave
Fresno, CA 93722-5402

Mailing address

4460 W Shaw Ave # 595
Fresno, CA 93722-6210

Other practice locations

  • 7171 W Rialto Ave, Fresno, CA 93723-9407 · (559) 277-3494
  • 114 S Brawley Ave, Fresno, CA 93706-2103 · (559) 443-2166
  • 3793 N Polk Ave, Fresno, CA 93722-9763 · (559) 271-1206
  • 3765 W Dakota Ave, Fresno, CA 93722-4784 · (559) 271-8421

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed
Case Manager/Care Coordinator 171M00000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1174403786

Jessica Marie Villalba's National Provider Identifier is 1174403786, issued on Sep 4, 2025. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Fresno, CA. The record was last updated on Nov 24, 2025.