Doctor Name: | JANICE FALK |
NPI Number: | 1053382903 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ST |
License Number: | 002628 |
Business Practice Address: | 181 Patricia Genova Drive Eastern Rehabilitation Network 5th Floor Newington, CT - 06111 |
Business Phone Number: | 8606675449 |
Business Fax Number: | 8606678416 |
Mailing Address: | 181 Patricia Genova Drive, Eastern Rehabilitation Network 5th Floor NEWINGTON |
State: | CT |
Postal Code: | 06111 |
Phone Number: | 8606675449 |
Fax Number: | 8606678416 |
NPI Enumeration Date: | 01/30/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225500000X |
License Number: | 002628 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Specialist/Technologist |
Taxonomy Specialization: | |
Taxonomy Definition: | General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |