Ruby Dorone Fenn in Davenport - Physical Therapist
Ruby Dorone Fenn - NPI 1275738239
Ruby Dorone Fenn is a Physical Therapist in Davenport, Florida. Ruby Dorone Fenn practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Ruby Dorone Fenn is 1275738239. The last update date is 2013-04-12.
Ruby Dorone Fenn's current location address is 109 Lake Davenport Blvd, Davenport, Florida. You can contact this provider via phone number 8632565030 and fax number 8692565030. The mailing address for Ruby Dorone Fenn is 109 Lake Davenport Blvd, Davenport, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | Ruby Dorone Fenn |
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Address | 109 Lake Davenport Blvd, Davenport, Florida |
Phone Number | 8632565030 |
Fax Number | 8692565030 |
Sole Proprietor | Y |
Credentials | P.T. |
NPI Number Detail
NPI Number | 1275738239 |
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Provider Enumeration Date | 2007-06-19 |
Last Updated Date | 2013-04-12 |
Provider Mailing Address Detail
Address | 109 Lake Davenport Blvd |
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City | Davenport |
State | Florida (FL) |
Post Code | 338979405 |
Phone Number | 8632565030 |
Fax Number | 8692565030 |
Provider's Primary Taxonomy Detail
Speciality | Physical Therapist |
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Taxonomy | 225100000X |
Licence No | PT19949 |
Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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What is the unique identifier code issued to Ruby Dorone Fenn by the Centers for Medicare & Medicaid Services (CMS)?
The Ruby Dorone Fenn has been assigned the NPI (National Provider Identifier) 1275738239. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Ruby Dorone Fenn?
The Ruby Dorone Fenn is situated at 109 Lake Davenport Blvd, in the city of Davenport, state of FL, with the zip code 338979405.
What is Ruby Dorone Fenn's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Ruby Dorone Fenn is Physical Therapist, and the taxonomy code that classifies this field of practice is 225100000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1275738239 to Ruby Dorone Fenn?
The Ruby Dorone Fenn received its 1275738239 assignment from the Centers for Medicare & Medicaid Services on 2007-06-19.
As of what date was the information regarding Ruby Dorone Fenn, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Ruby Dorone Fenn, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-04-12.