Provider Demographics
NPI:1902585292
Name:MORRIS, VIVIANE VOMERO (PT, MSC, PHD)
Entity Type:Individual
Prefix:
First Name:VIVIANE
Middle Name:VOMERO
Last Name:MORRIS
Suffix:
Gender:F
Credentials:PT, MSC, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7680 W HIGHWAY 98 APT 147
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32506-8922
Mailing Address - Country:US
Mailing Address - Phone:954-210-2417
Mailing Address - Fax:
Practice Address - Street 1:3650 BERRYHILL RD
Practice Address - Street 2:
Practice Address - City:PACE
Practice Address - State:FL
Practice Address - Zip Code:32571-8321
Practice Address - Country:US
Practice Address - Phone:850-995-1364
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-13
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT37104225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist