Provider Demographics
NPI:1982343794
Name:VENMAN, JOELLE MARIE (DPT)
Entity type:Individual
Prefix:
First Name:JOELLE
Middle Name:MARIE
Last Name:VENMAN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:JOELLE
Other - Middle Name:
Other - Last Name:BROMLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:1200 CORPORATE DR STE 400
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35242-5424
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:813 BOARDMAN POLAND RD STE 12B
Practice Address - Street 2:
Practice Address - City:BOARDMAN
Practice Address - State:OH
Practice Address - Zip Code:44512-5104
Practice Address - Country:US
Practice Address - Phone:330-729-9448
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-31
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT019852225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist