Doctor Name: | MRS. JANICE MARIE XENAKIS |
NPI Number: | 1023053956 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, DPT |
License Number: | 40QA00919000 |
Business Practice Address: | 526 S Riverside Dr Neptune, NJ - 077535841 |
Business Phone Number: | 9084611817 |
Business Fax Number: | 7326121298 |
Mailing Address: | 526 S Riverside Dr, NEPTUNE |
State: | NJ |
Postal Code: | 077535841 |
Phone Number: | 9084611817 |
Fax Number: | 7326121298 |
NPI Enumeration Date: | 06/17/2006 |
NPI Last Update Date: | 10/29/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | 40QA00919000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |