Provider Demographics
NPI:1790421808
Name:VENEMA, JOCELYNN RENEE'
Entity Type:Individual
Prefix:
First Name:JOCELYNN
Middle Name:RENEE'
Last Name:VENEMA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2249 N PHILLIPS RD
Mailing Address - Street 2:
Mailing Address - City:DEFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48729-9765
Mailing Address - Country:US
Mailing Address - Phone:989-798-8246
Mailing Address - Fax:
Practice Address - Street 1:700 COOPER AVE STE 1100
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48602-5383
Practice Address - Country:US
Practice Address - Phone:989-583-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-11
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist