Doctor Name: | JANET DRAGONETTE |
NPI Number: | 1124000914 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSPT |
License Number: | 08811 |
Business Practice Address: | 30455 Solon Rd Solon, OH - 441393458 |
Business Phone Number: | 4404989723 |
Business Fax Number: | 4404989725 |
Mailing Address: | 30455 Solon Rd, SOLON |
State: | OH |
Postal Code: | 441393458 |
Phone Number: | 4404989723 |
Fax Number: | 4404989725 |
NPI Enumeration Date: | 11/16/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 08811 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |