Provider Demographics
NPI:1255840484
Name:VENERACION, ARMAFE TERESITA (PT)
Entity Type:Individual
Prefix:MRS
First Name:ARMAFE
Middle Name:TERESITA
Last Name:VENERACION
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:ARMA
Other - Middle Name:B
Other - Last Name:VENERACION
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT
Mailing Address - Street 1:9906 RED HAW LN
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71115-9304
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9906 RED HAW LN
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71115-9304
Practice Address - Country:US
Practice Address - Phone:318-617-0373
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-20
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics