Provider Demographics
NPI:1255545919
Name:WILLIAMS, VENNE SHEREEN (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:VENNE
Middle Name:SHEREEN
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 MERCHANTS ROW BLVD
Mailing Address - Street 2:#168
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32311-3656
Mailing Address - Country:US
Mailing Address - Phone:703-867-8383
Mailing Address - Fax:
Practice Address - Street 1:4423 ESTATE MARYS FANCY
Practice Address - Street 2:
Practice Address - City:CHRISTIANSTED
Practice Address - State:VI
Practice Address - Zip Code:00820-5244
Practice Address - Country:US
Practice Address - Phone:340-692-5000
Practice Address - Fax:340-692-5002
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305203107225100000X
VI131225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist