Individual
BEVERLY D VENABLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
85 BLOOMINGROVE DR, TROY, NY 12180-8433
(518) 283-2000
Mailing address
85 BLOOMINGROVE DR, TROY, NY 12180-8433
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
003248
NY
Other
Enumeration date
12/08/2021
Last updated
12/08/2021
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