Individual
MS. VESMINA L VANTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
803 OAK ST, GOVERNORS CREEK HEALTH AND REHAB, GREEN COVE SPRINGS, FL 32043-4317
(904) 284-5606
Mailing address
1853 BLUEBONNET WAY, FLEMING ISLAND, FL 32003-7442
(904) 400-2894
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
PT8859
FL
Other
Enumeration date
01/24/2012
Last updated
01/24/2012
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