Provider Demographics
NPI:1003164880
Name:BOYER, JANINE MICHELLE (PT)
Entity Type:Individual
Prefix:
First Name:JANINE
Middle Name:MICHELLE
Last Name:BOYER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 GARDEN CT
Mailing Address - Street 2:SUITE 140
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-5362
Mailing Address - Country:US
Mailing Address - Phone:831-324-4630
Mailing Address - Fax:831-324-4709
Practice Address - Street 1:60 GARDEN CT
Practice Address - Street 2:SUITE 140
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-5362
Practice Address - Country:US
Practice Address - Phone:831-324-4630
Practice Address - Fax:831-324-4709
Is Sole Proprietor?:No
Enumeration Date:2012-08-27
Last Update Date:2012-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA29500225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist