Organization
VENNETT PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA ANN VENNETT PT (OWNER)
(561) 969-6125
Entity
Organization
Contact information
Practice address
130 JOHN F KENNEDY DR, SUITE 132, LAKE WORTH, FL 33462-1141
(561) 969-6125
(561) 964-5301
Mailing address
8462 EGRET MEADOW LN, WEST PALM BEACH, FL 33412-1556
(561) 776-6275
(561) 964-5301
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT860
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y913M
BCBS PROVIDER NUMBER
FL
Enumeration date
01/11/2007
Last updated
09/21/2007
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