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NPI Code Detail

MEDICARE: JENNIFER VECCHIONE MPT

MEDICARE: JENNIFER VECCHIONE MPT
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
1225100000XPhysical Therapist26651CA

General Provider Information

NPI Number : 1639139090
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER VECCHIONE MPT
Provider Business Mailing Address
First Line : 4700 LAS VEGAS BLVD N BLDG 1300
Second Line :
City : LAS VEGAS
State : NV
Zip : 89191-6600
Country : US
Telephone Number : 702-653-3100
Fax Number :
Provider Business Practice Location Address
First Line : 4700 LAS VEGAS BLVD N BLDG 1300
Second Line :
City : LAS VEGAS
State : NV
Zip : 89191-6600
Country : US
Telephone Number : 702-653-3100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2006
Last Update Date : 03/20/2014

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Directions to “ JENNIFER VECCHIONE MPT” Practice Location

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