Doctor Name: | MS. VESMINA L VANTA |
NPI Number: | 1003187949 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RPT |
License Number: | PT8859 |
Business Practice Address: | 803 Oak St Governors Creek Health And Rehab Green Cove Springs, FL - 320434317 |
Business Phone Number: | 9042845606 |
Business Fax Number: | |
Mailing Address: | 1853 Bluebonnet Way, FLEMING ISLAND |
State: | FL |
Postal Code: | 320037442 |
Phone Number: | 9044002894 |
Fax Number: | |
NPI Enumeration Date: | 01/24/2012 |
NPI Last Update Date: | 01/24/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251G0304X |
License Number: | PT8859 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Geriatrics |
Taxonomy Definition: |