Doctor Name: | JANIS D MARCONI |
NPI Number: | 1982723284 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | PT5211 |
Business Practice Address: | 809b Coshocton Ave # B Mount Vernon, OH - 430501931 |
Business Phone Number: | 7403973121 |
Business Fax Number: | |
Mailing Address: | 12 Fairgrounds Rd, MOUNT VERNON |
State: | OH |
Postal Code: | 430501310 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/28/2007 |
NPI Last Update Date: | 04/02/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | PT5211 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |