Organization
AVANTE THERAPY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIA JENNINGS PT (DIRECTOR)
(805) 218-7987
Entity
Organization
Contact information
Practice address
1411 CAMINO DE LA LUNA, OXNARD, CA 93030-5469
(805) 218-7987
(805) 856-2217
Mailing address
4900 TELEGRAPH RD, VENTURA, CA 93003-4131
(805) 218-7987
(805) 856-2217
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT17114
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00PT171140
INSURANCE
CA
01
—
WPT17114A
MEDICARE PPIN
CA
Enumeration date
05/01/2007
Last updated
08/22/2020
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