Individual
DANA B VENTOURAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1242 NECK RD, PONTE VEDRA BEACH, FL 32082-4112
(904) 285-7116
(904) 285-0577
Mailing address
1242 NECK RD, PONTE VEDRA BEACH, FL 32082-4112
(904) 285-7116
(904) 285-0577
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT10172
FL
225XP0200X
Pediatric Occupational Therapist
Primary
OT10172
FL
Other
Enumeration date
09/22/2008
Last updated
09/22/2008
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