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NPI Code Detail

MEDICARE: JVB PHYSICAL THERAPY SERVICES, INC.

MEDICARE: JVB PHYSICAL THERAPY SERVICES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12251N0400XNeurology Physical Therapist2723SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033188396
Entity Type Code : Organization
Provider Name (Legal Business Name) : JVB PHYSICAL THERAPY SERVICES, INC.
Provider Business Mailing Address
First Line : 1635 MULBERRY ST
Second Line :
City : CHARLESTON
State : SC
Zip : 29407-5816
Country : US
Telephone Number : 843-364-5089
Fax Number : 843-763-0229
Provider Business Practice Location Address
First Line : 1635 MULBERRY ST
Second Line :
City : CHARLESTON
State : SC
Zip : 29407-5816
Country : US
Telephone Number : 843-364-5089
Fax Number : 843-763-0229
Authorized Official
Title or Position : PRESIDENT/OWNER PHYSICAL THERAPIST
Name : MRS. JENNIFAYE VERDINA GREENE
Credential : PT, MS, NCS
Telephone Number : 843-364-5089
Provider Enumeration Date : 03/17/2006
Last Update Date : 08/22/2020

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Directions to “JVB PHYSICAL THERAPY SERVICES, INC. ” Practice Location

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