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General NPI Number Information
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NPI Number | 1033188396
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Entity Type | Organization
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Legal Business Name | JVB PHYSICAL THERAPY SERVICES, INC.
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Dates
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Enumeration Date | 03/17/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1635 MULBERRY ST
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City | CHARLESTON
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State | SC
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Zip | 29407-5816
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Country | US
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Telephone | 843-364-5089
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Fax | 843-763-0229
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Provider Business Mailing Address
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Address Line | 1635 MULBERRY ST
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City | CHARLESTON
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State | SC
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Zip | 29407-5816
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Country | US
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Telephone | 843-364-5089
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Fax | 843-763-0229
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Authorized Official
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Title or Position | PRESIDENT/OWNER PHYSICAL THERAPIST
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Name | MRS. JENNIFAYE VERDINA GREENE
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Credential | PT, MS, NCS
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Telephone | 843-364-5089
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251N0400X
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Taxonomy Name | Neurology Physical Therapist
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License Number | 2723
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License Number State | SC
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