| Doctor Name: | MR. JOHN MICHAEL BIENVENU |
| NPI Number: | 1922148287 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | PT07090 |
| Business Practice Address: | 651 Main St Suite 115 Gardendale, AL - 350712789 |
| Business Phone Number: | 2056083113 |
| Business Fax Number: | 2056083036 |
| Mailing Address: | 651 Main St, Suite 115 GARDENDALE |
| State: | AL |
| Postal Code: | 350712789 |
| Phone Number: | 2056083113 |
| Fax Number: | 2056083036 |
| NPI Enumeration Date: | 02/07/2007 |
| NPI Last Update Date: | 08/09/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT07090 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | LA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |