MEDICARE: JENNIFER VEIGLE PT

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
1	225100000X	Physical Therapist	PT15611	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1538715628
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER VEIGLE PT

Provider Business Mailing Address
First Line	:	205 HAZARD ST
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32804-3029
Country	:	US
Telephone Number	:	407-921-1758
Fax Number	:

Provider Business Practice Location Address
First Line	:	205 HAZARD ST
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32804-3029
Country	:	US
Telephone Number	:	407-921-1758
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/14/2019
Last Update Date	:	09/23/2020

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Directions to “ JENNIFER VEIGLE PT” Practice Location

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