Doctor Name: | MS. MARYLOUISE JANI |
NPI Number: | 1043480486 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 40QA00874200 |
Business Practice Address: | 800 Denow Rd Suite U Pennington, NJ - 085345246 |
Business Phone Number: | 6097378130 |
Business Fax Number: | 6097378131 |
Mailing Address: | 8 Overlook Way, LAWRENCEVILLE |
State: | NJ |
Postal Code: | 086484839 |
Phone Number: | 6096201817 |
Fax Number: | |
NPI Enumeration Date: | 02/29/2008 |
NPI Last Update Date: | 02/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | 40QA00874200 |
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: |