Provider Demographics
NPI:1447298948
Name:PICARD, VEERLE GEORGETTE (PT)
Entity type:Individual
Prefix:
First Name:VEERLE
Middle Name:GEORGETTE
Last Name:PICARD
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3920 BEE RIDGE RD
Mailing Address - Street 2:BLDG E, UNIT G
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34233-1207
Mailing Address - Country:US
Mailing Address - Phone:941-925-2700
Mailing Address - Fax:941-925-7744
Practice Address - Street 1:3920 BEE RIDGE RD
Practice Address - Street 2:BLDG E, UNIT G
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34233-1207
Practice Address - Country:US
Practice Address - Phone:941-925-2700
Practice Address - Fax:941-925-7744
Is Sole Proprietor?:No
Enumeration Date:2006-06-04
Last Update Date:2017-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT15224225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL7611346OtherGHI INDIV PROV NUM
FLY065MOtherBCBS INDIV PROV NUM
FL7611346OtherGHI INDIV PROV NUM